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胸膜子宫内膜异位症很少见,是子宫内膜组织经横膈扩展至胸膜或子宫内膜细胞经血行迁徒至肺而引起。自1938年Swarz首次报告1例以来,在英文文献中仅有87例报道。作者介绍1例此类病例,系一38岁妇女,有痛经及不孕史,因呼吸困难及右胸痛2周入院。入院前10个月腹腔镜检发现广泛盆腔子宫内膜异位症,入院前5个月病人有间断右胸轻痛,月经期明显。入院时胸片示胸膜渗液,诊断性胸穿有稠厚陈旧血性液而无细菌。上腹及胸部超声扫描示右半横膈后半部有多个缺损处,直径0.5
Pleural endometriosis is rare, is the expansion of endometrial tissue by the diaphragm to the pleura or endometrial cells migrate to the lungs caused by menstruation. Since Swarz first reported 1 case in 1938, only 87 cases were reported in English literature. The authors describe a case of such cases, a 38-year-old woman, history of dysmenorrhea and infertility, due to dyspnea and right chest pain 2 weeks admission. Laparoscopy 10 months before admission found that extensive pelvic endometriosis, 5 months before admission, patients have intermittent right chest mild pain, menstrual period. Chest radiography showed pleural effusion on admission, diagnostic thoracic wear thick old blood without bacteria. Upper abdomen and chest ultrasound scan showed the right half of the diaphragm after the second half of a number of defects at a diameter of 0.5