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目的:探讨青春期子宫内膜异位症患者的临床的特点与临床的治疗效果。方法:选取我院自2002年1月到2011年1月的在我院确诊并治疗的30例青春期子宫内膜异位症,分析其临床的表现和发病的部位以及病变的程度等,并给予了腹腔镜手术治疗或开腹手术治疗,17例患者在手术后使用孕三烯酮、促性腺激素释放激素拮抗剂、甲地孕酮等药物配合治疗。结果:对于这30例患者进行了定期的随访,平均随访2年,在随访的过程中主要是对这患者进行盆腔和B超检查,其中17例在手术后进行了药物治疗的患者都没有复发的现象发生,其中有的患者已经生育,13例患者在手术后没有进行药物的治疗,其中有5例患者出现复发的现象,而且复发的平均时间是2年左右。结论:青春期子宫内膜异位症的患者经常是伴有生殖道畸形的,常见的症状是经期下腹痛。青春期子宫内膜异位症大多的发病时间是在初潮来之后的5年之内,主要的症状是盆腔包块与痛经,还是以手术的治疗为主,在手术后结合药物的治疗可以极大的降低术后复发率。
Objective: To investigate the clinical features and clinical therapeutic effect of adolescent endometriosis patients. Methods: Thirty cases of adolescent endometriosis diagnosed and treated in our hospital from January 2002 to January 2011 were selected, and the clinical manifestations, the site of the disease and the degree of the disease were analyzed. Laparoscopic surgery or laparotomy was performed. Seventeen patients received gestrinone, gonadotropin-releasing hormone antagonist, megestrol and other drugs after surgery. RESULTS: The 30 patients were followed up regularly for an average of 2 years. During the follow-up, pelvic and B-ultrasound were performed on this patient. Of the 17 patients who did not receive recurrence after surgery, there was no recurrence Of the patients, some of whom have had childbearing, 13 patients did not undergo drug treatment after surgery, of which 5 patients relapsed, and the average time to relapse is about 2 years. CONCLUSIONS: Patients with adolescent endometriosis are often associated with reproductive tract deformities, and the common symptom is lower abdominal pain during menstruation. Most of the onset of adolescent endometriosis is within 5 years after the menarche, the main symptoms are pelvic mass and dysmenorrhea, or surgery-based treatment, combined with the treatment of drugs in the surgery can be great Reduce the postoperative recurrence rate.