Liang C C, Tsai C C, Chen T C, Soong Y K
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan.
Int J Gynaecol Obstet. 1996 Jun;53(3):261-5. doi: 10.1016/0020-7292(95)02592-8.
To demonstrate the appropriate diagnosis and management of perineal endometriosis.
Six patients with perineal endometriosis were diagnosed according to their clinical symptoms and signs which included cyclic perineal pain and a tender perineal mass coinciding with the menstrual cycle. Diagnostic tools used included ultrasonography, computerized tomography, fine needle aspiration cytology and laparoscopy. Management comprised both surgical and medical treatment. Postoperative follow-up was carried out at 3-monthly intervals.
All six patients were cured following surgical excision of the endometrioma.
A detailed history, thorough pelvic examination and sonographic investigation are essential in diagnosing perineal endometriosis. The role of other diagnostic tools remains controversial. Treatment of extrapelvic endometriosis includes surgical intervention and hormonal suppression. If hormonal suppression fails, surgical excision of the perineal endometrioma should be carried out.
展示会阴子宫内膜异位症的恰当诊断与管理。
根据临床症状和体征诊断出6例会阴子宫内膜异位症患者，这些症状和体征包括周期性会阴疼痛以及与月经周期相符的会阴部压痛性肿块。所使用的诊断工具包括超声检查、计算机断层扫描、细针穿刺细胞学检查和腹腔镜检查。管理措施包括手术治疗和药物治疗。术后每隔3个月进行一次随访。
所有6例患者在子宫内膜瘤手术切除后均治愈。
详细的病史、全面的盆腔检查和超声检查对于诊断会阴子宫内膜异位症至关重要。其他诊断工具的作用仍存在争议。盆腔外子宫内膜异位症的治疗包括手术干预和激素抑制。如果激素抑制失败，应进行会阴子宫内膜瘤的手术切除。
