Tapia A, Rahmer A, Oddó H, Chuaqui R, Vargas J
Departamento de Cirugía Digestiva, Facultad de Medicina, Universidad Católica de Chile, Santiago de Chile.
Rev Med Chil. 1995 May;122(5):537-41.
We report our experience with 8 women with perineal endometriosis managed in a period of 20 years. All were multiparae women presenting with cyclical perineal painful masses related to menstrual periods. Symptomatology started 6 months to 16 years after last delivery. Three patients had partial involvement of the anal sphincter. The endometriosis area was locally resected in all women. There were no complications and no problems with anal continence. Two patients had local recurrences. The different lapses between delivery and symptomatic presentation can be related to the amount of endometrial basal cells implants in the episiotomy. The treatment is always surgical. All endometrial implants must be resected and sphincteric structures must be repaired posteriorly.
我们报告了20年间对8例会阴子宫内膜异位症患者的治疗经验。所有患者均为经产妇，表现为与月经周期相关的周期性会阴疼痛性肿块。症状出现于末次分娩后6个月至16年。3例患者肛门括约肌部分受累。所有患者均在局部切除子宫内膜异位症病灶。未出现并发症，且肛门控便功能无问题。2例患者出现局部复发。分娩与症状出现之间的不同时间间隔可能与会阴切开术中植入的子宫内膜基底层细胞数量有关。治疗始终采用手术方式。必须切除所有子宫内膜植入物，并且必须在后方修复括约肌结构。
