关键词: 子宫内膜异位症, 青春期, 痛经, 保守手术, 促性腺激素释放激素, 复发

Abstract:

Objective: To explore the possible causes of postoperative recurrence in adolescent patients with ovarian endometriosis (EMs). Methods: Retrospectively analyzed the clinical data of 9 adolescent ovarian endometriosis recurrent cases who underwent conservative operation. Results: The clinical stage of 9 patients was stage Ⅰ in 1 case, stage Ⅲ in 1 case and stage Ⅳ in 7 cases. 7 patients had dysmenorrhea recurred 3 to 4 months after drug treatment completed. The ovarian EMs recurred in 7 patients within 1 year, 1 patient after 3 years, 1 patient after 4 years followed the first operation. 3 patients had lesion recurred in the contralateral ovary, 3 patients had lesion recurred in the ovary with tiny focus during the primary operation, 2 patients had lesion recurred at the same ovary and 1 patient had bilateral ovarian recurred. 5 patients had experienced recurrence once, 3 patients had recurred twice, and one patient had recurred three times after the primary surgery. 2 patients had delivered at full term after operation. 9 patients had long term drug management 2 to 6 medication cycles after primary surgery. Conclusions: The clinical stage of the primary surgery is usually severe in adolescent recurrence patients after conservative operation, dysmenorrhea and EMs lesion recurrence usually occur within 1 year after surgery. Severe clinical stage, dysmenorrhea, unsatisfied long term drug management and low willing to pregnancy may relate with recurrence after surgery.

Key words: Endometriosis, Puberty, Dysmenorrhea, Conservative surgery, Gonadotropin-releasing hormone, Recurrence