Clinical analysis of 30 cases with adolescent endometriosis

Objective:To discuss the clinical characteristics,diagnosis and treatment of adolescent endometriosis.Methods:A retrospective analyzed of 30 cases of adolescent patients with endometriosis clinical data.Results:The average interval of adolescent endometriosis diagnosis from menarche age were 4.5 years.The average time of disease occurrence from diagnosis were 2.3 years.Clinical manifestation was pelvic mass,dysmenorrhea,chronic pelvic pain,acute abdominal pain.All of 30 cases were treated by operation.16 patients(53.3%) were diagnosed and treated by laparoscopy.Preoperative misdiagnosis were 18 cases(60.0%).According to the endometriosis staging standard(R-AFS) revised by American Fertility association.Ⅰ phase were 4 cases(13.3%).Ⅱ phase were 5 cases(16.7%).Ⅲ phase were 13 cases(43.3%).Ⅳ phase were 8 cases(26.7%).The concomitant genital deformity were 3 cases(10.0%).Conclusion:The main clinical symptoms of adolescent endometriosis is pelvic mass and dysmenorrheal.Operation is the main treatment method.Postoperative medication can decrease the recurrent rate.