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因不孕、慢性下腹痛、原发性痛经、卵巢功能紊乱、卵巢肿瘤和异位妊娠面行腹腔镜检查的2554例中,618例诊断为子宫内膜异位症。根据目前已广泛应用的美国生育协会分期对这些盆腔子宫内膜异位症进行分期。同时还进行了有关疼痛和盆腔检查的评价。疼痛可分为痛经、下腹痛、腰痛、性交痛和排便痛,程度上又分轻、中、重。作者发现:①Ⅰ期子宫内膜异位症患者,其病灶位于子宫直肠陷凹和宫骶韧带者较多,随着疾病的发展,病灶位于卵巢的发生率逐步上升。②尽管Ⅳ期病人疼痛的发
Of 2554 cases of infertility, chronic lower abdominal pain, primary dysmenorrhea, ovarian dysfunction, ovarian cancer and ectopic pregnancies, 618 were diagnosed as endometriosis. The pelvic endometriosis is staged according to the American Fertility Association, which is now widely used. Pain and pelvic examinations were also evaluated. Pain can be divided into dysmenorrhea, lower abdominal pain, back pain, pain and painful sexual intercourse, the extent of light, medium and heavy. The authors found: ① stage Ⅰ endometriosis patients, the lesions located in the uterus and rectovaginal uterosacral ligament were more, as the disease progresses, the incidence of lesions in the ovary gradually increased. ② despite the pain of stage Ⅳ patients hair