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目的：探讨盆腔子宫内膜异位症（内异症）临床特点及治疗方法与预后的关系。方法：对我院１９９３年 １月～１９９８年 １２月 ６年间收治的内异症 ５１６例次临床资料进行回顾性分析。结果：内异症临床表现为盆腔疼痛及月经过多均以合并子宫腺肌病者最多，与内异症其他临床类别比较均Ｐ＜０．０１。卵巢巧克力囊肿恶性变发生率０．９７％。５１６例均经手术治疗，２０３例追踪结果显示治疗总有效率８６．７０％，单纯手术与联合治疗（手术＋术后药物治疗）对比差异无显著意义（Ｐ＞０．０５）。术后平均复发率３９．９０％；单手术治疗比联合治疗复发率高、平均复发时间短（Ｐ＜０．０１）。１３７例不孕症手术治疗总有效率为７２．１８％，受孕率及术后受孕时间单手术与联合治疗比较差异无统计学意义（Ｐ＞０．０５）。结论：盆腔异位症常见子生育年龄妇女。手术治疗可明确诊断，不孕症者术后受孕率可达７５．１８％，联合治疗可降低复发率。
Objective: To investigate the clinical features of pelvic endometriosis (endometriosis) and its relationship with prognosis. Methods: The clinical data of 516 cases of endometriosis admitted in our hospital from January 1993 to December 1998 were retrospectively analyzed. Results: The clinical manifestations of endometriosis were pelvic pain and menorrhagia were the most with adenomyosis, endometriosis compared with other clinical categories were P <0.01. The incidence of malignant ovarian chocolate cyst 0.97%. 516 cases were surgically treated, and 203 cases of follow-up results showed that the total effective rate was 86.70%. There was no significant difference between simple operation and combined treatment (operation + postoperative drug treatment) (P> 0.05). The average recurrence rate after operation was 39.90%. The recurrence rate was higher and the average recurrence time was shorter in the single operation than in the combined treatment (P <0.01). The total effective rate of 137 infertility surgeries was 72.18%. There was no significant difference between conception rate and postoperative conception time of single operation and combination therapy (P> 0.05). Conclusion: Pelvic ectopic pregnancy is common in childbearing age women. Surgical treatment can confirm the diagnosis, infertility postoperative pregnancy rate up to 75.18%, combined treatment can reduce the recurrence rate.