Salamalekis E, Vasiliadis T X, Kairi P, Zourlas P A
University of Athens, 2nd Department of Obstetrics and Gynecology, Areteion Hospital, Greece.
Int J Gynaecol Obstet. 1990 Jan;31(1):75-80. doi: 10.1016/0020-7292(90)90186-o.
Four patients who developed endometriosis at the episiotomy scar are reported. The latent period varied from 6 months to 10 years before the onset of symptoms. Three of them experienced cyclic pain at the site of the lesion during their menses and one patient had bloody discharge from the scar during menstruation. All patients were managed surgically and no one had recurrence during the follow-up period which ranged from 2 to 5 years. The pathogenesis of endometriosis is discussed as a clinical entity; the literature is also reviewed.
本文报告了4例在会阴切开术瘢痕处发生子宫内膜异位症的患者。症状出现前的潜伏期为6个月至10年。其中3例在月经期间病变部位出现周期性疼痛,1例患者在月经期间瘢痕处有血性分泌物。所有患者均接受了手术治疗,在2至5年的随访期内无人复发。本文将子宫内膜异位症作为一种临床实体讨论了其发病机制;同时也对相关文献进行了综述。