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目的：探讨会阴子宫内膜异位症的诊断和处理。方法：对我院18年来11例会阴子宫内膜异位症的病例进行回顾性分析，并作术后随诊。结果：会阴子宫内膜异位症的发生率非常低，我院会阴伤口异位症的发生率为8．7/万。11例病例均诊断正确。会阴子宫内膜异位症的发病潜伏期，30岁以前患者多在一年以内，30岁以上患者多在一年以上，两者有显著差异（P＜0．05）。会阴子宫内膜异位症均行完整切除，药物治疗。随诊3个月至7年，10例未复发。结论：典型的病史和体格检查可以对会阴伤口子宫内膜异位症做出准确的诊断。手术切除为主要治疗方法。“,” Objective :To demonstrate the appropriate diagnosis and treatment of perineal endometriosis .Methods :Eleven patients in our department during 18 years were retrospectively analysed .Postoperative follow -up was carried out .Results :The incidence of perineal endo-metriosis is quite rare .The incidence of endometriosis at the episiotomy site is 0 .0087% in our department during 18 years .Eleven patients were diagnosed correctly .The latent period of patient who was less than 30 years old is within one year .The latent period of patient who was more than 30 years old is more than one year (P<0 .05) .The treatment of choice is complete surgical excision of endometrial tissue .Medical treatment generally considered an assistant therapy .Ten patients obtain permanent cure during follow - up period which arranged from 3months to 7 years .Conclusion :The typical clinical history and local findings enable us to make the correct diagnosis of perineal endometrio-sis at episiotomy site .Surgical excision of the perineal endometriosis is the first choice .