Sun Zhi-Jing, Zhu Lan, Lang Jing-He
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, 1 Shuaifuyuan Dongcheng District, Beijing 100730, China.
J Reprod Med. 2010 Jan-Feb;55(1-2):62-6.
To study the diagnosis and treatment of inguinal endometriosis.
A retrospective study was made of 9 patients presenting with inguinal endometriosis between January 1986 and November 2008.
The incidence of inguinal endometriosis was 0.07% among a total of 13,352 patients with endometriosis treated. Eight of 9 patients (88.9%) had lesions on the right side. The symptoms in 6 patients fluctuated with menses. Only in 3 of them with cyclic symptoms was inguinal endometriosis suspected preoperatively. Symptomatic complaints ranged from 3 months to 10 years, with an average interval of 3 years. Eight patients received complete excision of inguinal lumps. One patient with a lump of 5 cm in diameter underwent a wide excision including the extraperitoneal portion of the round ligament. Four cases underwent pelvic exploration at the same time, and it revealed the coexistence of ovarian endometriomas. No one showed recurrence in the groin on follow-up of 19-96 months.
Inguinal endometriosis is rare and often diagnosed accidentally. It is mostly right-sided and concomitant with pelvic endometriosis. The surgical procedure is complete excision of the mass. Pelvic exploration should be performed if necessary.
研究腹股沟子宫内膜异位症的诊断与治疗。
对1986年1月至2008年11月间9例腹股沟子宫内膜异位症患者进行回顾性研究。
在总共13352例接受治疗的子宫内膜异位症患者中，腹股沟子宫内膜异位症的发病率为0.07%。9例患者中有8例（88.9%）病变位于右侧。6例患者的症状随月经周期波动。其中仅有3例有周期性症状的患者在术前被怀疑为腹股沟子宫内膜异位症。症状出现时间为3个月至10年，平均间隔3年。8例患者接受了腹股沟肿块的完整切除。1例直径5 cm肿块的患者接受了包括圆韧带腹膜外部分的广泛切除。4例患者同时进行了盆腔探查，发现存在卵巢子宫内膜瘤。在19至96个月的随访中，无人腹股沟复发。
腹股沟子宫内膜异位症罕见，常为偶然诊断。多为右侧，且常合并盆腔子宫内膜异位症。手术方式为肿块完整切除。必要时应进行盆腔探查。
