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本文报道经手术及病理证实的子宫内膜异位症112例。占同期妇科住院患者总数3589例的3.12%。同期妇科开腹手术3506例,异位症占3.19%。本组腺肌症(子宫内膜侵入肌层者)69例,外在型(子宫肌层以外的盆腔子宫内膜异位症)33例,混合型(二者同时存在者)10例。病变位于卵巢者35例,其中累及双侧卵巢14例。位于子宫直肠陷凹7例,腹壁切口和子宫颈各1例。说明腺肌症多于外在型,外在型多于混合型,子宫肌层以外病变中以卵巢最多见。
This article reports 112 cases of endometriosis confirmed by surgery and pathology. Accounting for 3.12% of the 3589 cases of gynecological inpatients in the same period. 3506 cases of gynecological laparotomy over the same period, ectopic accounted for 3.19%. The group of 69 cases of adenomyosis (endometrial invasion of the muscle) 69 cases, 33 cases of extrinsic (pelvic endometriosis other than the myometrium), mixed (both co-exist) in 10 cases. 35 cases of lesions located in the ovary, involving 14 cases of bilateral ovary. In the uterus, 7 cases of rectal pouch, abdominal incision and 1 case of cervical. Explanations of adenomyosis more than external type, external type than mixed type, myometrial lesions outside the most common ovarian.