论文部分内容阅读
目的探讨肺部子宫内膜异位症的临床特点及诊治。方法回顾性分析6例肺部子宫内膜异位症患者的临床资料。结果 6例患者均有周期性咯血。其中3例有痛经,4例有剖宫产史,3例有人流史,1例为不孕患者,3例合并盆腔子宫内膜异位症。6例患者经期肺部CT可见片状毛玻璃影或者斑片状密度增高影,经后肺部CT病灶明显缩小甚至消失。6例均予以抑那通治疗6个月并随访1年未见复发。结论肺部子宫内膜异位症患者可有与月经相关的周期性咯血;月经期肺部CT可见病灶,经后肺部CT病灶明显缩小甚至消失;药物诊断性治疗有效从而诊断。药物治疗有效可以避免手术治疗的创伤。
Objective To investigate the clinical features and diagnosis and treatment of pulmonary endometriosis. Methods The clinical data of 6 patients with pulmonary endometriosis were retrospectively analyzed. Results Six patients had periodic hemoptysis. 3 of them had dysmenorrhea, 4 had cesarean section history, 3 had history of abortion, 1 had infertility, and 3 had pelvic endometriosis. 6 cases of patients with lung CT scan showed flaky glassy or patchy density increased shadow, after the lung CT lesions significantly reduced or even disappear. 6 cases were treated with inhibition of Nautong for 6 months and no follow-up of 1 year follow-up. Conclusions Patients with pulmonary endometriosis may have periodic hemoptysis associated with menstruation. During the menstrual period, the CT images of the lungs can be seen, and the lesions of the lung after CT imaging have been reduced or even disappeared. The diagnostic treatment of the drug is effective for diagnosis. Medication is effective to avoid the trauma of surgical treatment.