摘要
目的:调查分析华西第二医院5年间子宫内膜异位症患病情况的变化。方法:逐一查阅我院1997年～2001年5年间子宫内膜异位症患者的病例并进行回顾性研究。结果:我院5年共收治1754例子宫内膜异位症患者,占妇科病房患者总数的11.4%,病例数呈逐年上升的趋势,且Ⅰ,Ⅱ期患者的比例升高,Ⅲ,Ⅳ期的患者比例下降(P<0.01);77.4%的病人选择开腹手术,20.5%的病人选择腹腔镜手术,二者比较有统计学意义(P<0.01);手术方式以保留生育功能手术为主,占75.6%,且对该手术方式的选择有增加的趋势(P<0.01),而根治性手术呈下降趋势(P<0.01)。结论:由于腹腔镜诊断技术的广泛应用,使子宫内膜异位症病例数增加,尤其是Ⅰ、Ⅱ期患者数的增加。治疗方法仍以手术为主,早期病例的增加导致保留生育功能手术的比例增加。
Objective： To investigate endometriosis （EMS） about prevalent distribution from 1997 to 2001 in Huaxi Hospital.Methods： Checking up all cases of EMS. Results： A total of EMS patients were diagnosed and treated in the hospital during the past 5 years, occupying 11.4% of all patients in gynecological ward. The number of the patients was increasing. There were more patients with endometriosis stage Ⅰ or Ⅱ and less with stage Ⅲ or Ⅳ than before （ P 〈 0.01 ）. The trend of taking laparoscopic treatment preserving function and fertility was still going upwards （p 〈 0.01）. In the patients 77, 17% received laparatomy, and 18.24% received laparascopic treatment. Conclusions： The number of patieuts having EMS was increasing during recent 5 years, especially those having stage Ⅰ and Ⅱ endometriosis, because of the use of laparoscopy. Surgery was also the most important way to treat EMS. Treatment preserving function and fertility becaue more because the stage Ⅰ and Ⅱ tumor becaue more fregnent.
出处
《华西医学》
CAS
2005年第3期461-462,共2页
West China Medical Journal
