The standardization of traditional chinese medicine in refractory gastroesophageal reflux disease

Objective To evaluate the effectiveness and safety of postmenopausal ovarian endometrial cyst. Methods From Jun. 2010 to Jun. 2015, there were 31 patients of postmenopausal ovarian endometriosis treated with laparoscopic surgery in our hospital. Clinical data were analyzed retrospectively. Results The average age was (55.39 ± 5.81) years old. The average period of menopause was (5.67 ± 5.32) years(95% CI 3.56-7.77).4 patients had the history of EMs, with 3 patients had received surgery. Chief complaint included 29 cases of pelvic mass, 6 cases of chronic pelvic pain, 1 case of postmenopausal vaginal bleeding. Endometriosis were preoperatively considered in 16 cases. All patients underwent radical surgery. Stages of r-AFS were 11 cases of stage Ⅰ and Ⅱ, 20 cases of stage Ⅲ and Ⅳ. The final pathologic findings of 31 cases were endometriosis with leiomyoma in 3 cases, adenomyosis in 5 cases, benign ovarian tumor in 4 cases and ovarian cancer in 3 cases. Conclusions Postmenopausal ovarian endometriosis was most likely the persistence of premenopausal endometriosis. Because its clinical picture was atypical, it was often misdiagnosed. The radical surgery was the critical methods for diagnosis and treatment. Key words: Postmenopause; Endometriosis; Diagnosis; Therapy