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目的:用病理学方法分析与评价子宫内膜异位囊肿剔除术对卵巢功能的影响。方法:选择2004年1月～2005年10月于北医三院行子宫内膜异位囊肿剔除术的患者99例,分析术后标本的囊壁厚度、纤维化程度、有无内膜腺体及子宫内膜间质成分、子宫内膜腺体在囊内壁的附着率、内膜组织浸润深度、有无卵巢正常间质及髓质成分及卵泡等情况。结果:几乎99%囊肿囊内壁都含有子宫内膜异位病灶,所有标本均有子宫内膜间质成分。全部标本都有囊壁纤维化,子宫内膜异位囊肿囊内壁的内膜异位腺体的平均附着率为(55.00±21.30)%。平均囊壁厚度为(2.26±0.89)mm。子宫内膜异位组织侵入深度的最大值为2.0 mm。98%的病例中子宫内膜异位组织最大侵入深度<1.6 mm,子宫内膜组织侵入囊壁深度平均0.63 mm。64.64%的标本中含有正常卵泡组织。结论:子宫内膜异位囊肿剔除术为治疗子宫内膜异位囊肿的理想手术方式,此研究可以为妇科手术中如何最大程度地保护卵巢正常组织提供参考。
Objective: To analyze and evaluate the effect of endometriosis cyst excision on ovarian function by pathological method. Methods: From January 2004 to October 2005, 99 cases of endometriotic cyst excision in Beiyisanyuan Hospital were selected. The thickness of the wall, the degree of fibrosis, the degree of endometrial glands And endometrial stromal components, endometrial glands in the cyst wall adhesion rate, depth of invasion of endometrial tissue, with or without ovarian normal interstitial and medullary components and follicles and so on. RESULTS: Almost 99% of cysts contained endometriotic lesions and all of them had endometrial stromal components. All samples had wall fibrosis, the endometriotic cyst endometriotic gland lining the average attachment rate was (55.00 ± 21.30)%. The mean wall thickness was (2.26 ± 0.89) mm. The maximum depth of endometriosis invasion is 2.0 mm. In 98% of the cases, the maximum invasion depth of endometriosis was <1.6 mm and the depth of endometrial invasion was 0.63 mm. 64.64% of the specimens contain normal follicular tissue. Conclusion: Endometriosis cyst excision is an ideal surgical method for the treatment of endometriotic cysts. This study may provide a reference for how to maximize the protection of ovarian normal tissues in gynecological surgery.