Hambrick E, Abcarian H, Smith D
Dis Colon Rectum. 1979 Nov-Dec;22(8):550-2. doi: 10.1007/BF02587001.
Four patients, 23--34 years old, who developed endometriomas at the site of an episiotomy 19 months to 11-years postpartum are reported. Pain, Swelling and pruritus varying in intensity with the menstrual cycle were present in all. Complete excision is curative. Symptoms of incompletely excised endometriomas may be controlled by local hormonal injections or systemic hormonal manipulation. The anatomy of the endometrium and its physiologic behavior are reviewed. A concept of WHY endometriomas develop is presented which is compatible with the theories of HOW they occur.
本文报告了4例年龄在23 - 34岁之间的患者，她们在产后19个月至11年时在会阴切开术部位出现了子宫内膜异位囊肿。所有患者均有随月经周期强度变化的疼痛、肿胀和瘙痒症状。完整切除可治愈。不完全切除的子宫内膜异位囊肿的症状可通过局部激素注射或全身激素治疗来控制。文中回顾了子宫内膜的解剖结构及其生理行为。提出了一个关于子宫内膜异位囊肿为何发生的概念，这与它们如何发生的理论是相符的。
