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目的探讨宫颈子宫内膜异位症的诊断与治疗。方法2001年1月至2005年12月对宜昌市第一人民医院妇产科61例宫颈子宫内膜异位症患者的诊断与治疗进行回顾性研究。结果61例均系慢性宫颈炎,行激光、微波、冷冻治疗后数月发生不规则阴道流血,尤其是接触性出血,经病理检查确诊,行阴道镜下微波治疗,随诊1年以上,均无复发。结论宫颈子宫内膜异位症可根据病史、典型的临床表现、妇科检查与阴道镜检查作出诊断。微波治疗(微波、激光等)是首选方法。手术时机的合理选择,术后假绝经治疗有利于伤口愈合及防止复发。
Objective To investigate the diagnosis and treatment of cervical endometriosis. Methods From January 2001 to December 2005, 61 cases of cervical endometriosis in the First People ’s Hospital of Yichang City were retrospectively studied. Results All of the 61 cases were chronic cervicitis. Irregular vaginal bleeding occurred several months after laser, microwave and cryotherapy, especially contact bleeding. After pathological examination, colposcopic microwave treatment was performed. The patients were followed up for more than 1 year No recurrence. Conclusions Cervical endometriosis can be diagnosed according to medical history, typical clinical manifestations, gynecological examination and colposcopy. Microwave therapy (microwave, laser, etc.) is the preferred method. Reasonable choice of timing of surgery, postoperative treatment of menopause is conducive to wound healing and prevent recurrence.