Márquez J, Márquez J C, Arraztoa J A, Pérez G, Espinoza A
Servicio de Ginecología y Obstetricia, Hospital San José.
Rev Chil Obstet Ginecol. 1995;60(1):1-4; discussion 4-5.
The ectopic endometriosis in the perineum is very rare (0.2% of ectopic endometriosis). We studied 16 cases of vaginoperineal endometriosis. Fifteen of them were localized in the site of an episiotomy scar and in one there was another focus of a severe endometriosis of multiple localizations. All the patients were submitted to anamnesis, physical, gynecologic and proctologic examination, surgical excition, histopathologic study of the lesion and control. All the patients are asymptomatic after treatment. To cure definitively the disease it is necessary to make a complete ablation of the endometrial lesion. Eventually, hormonal treatments could be use in case there were other endometrial localizations besides the vaginoperineal one.
会阴部位的异位子宫内膜异位症非常罕见（占异位子宫内膜异位症的0.2%）。我们研究了16例阴道会阴子宫内膜异位症患者。其中15例位于会阴侧切瘢痕处，1例存在另一个多处严重子宫内膜异位症病灶。所有患者均接受了病史采集、体格检查、妇科和直肠检查、手术切除、病变组织病理学研究及随访。所有患者治疗后均无症状。要彻底治愈该病，必须完全切除子宫内膜病变。最终，若除阴道会阴部位外还有其他子宫内膜异位病灶，可采用激素治疗。
