例1 31岁,于1983年4月行外阴侧切及低位产钳分娩。产后半年复经,术后1年自觉外阴疤痕处有一小肿物,每于经期时疼痛,局部硬结逐渐增大,呈进行性加剧,以致坐立不适。妇检:外阴无炎症,会阴侧切疤痕处有一硬结约4×2.5×2cm大,无红肿,有压痛,阴道壁光滑,子宫颈Ⅱ度糜烂,子宫后位,大小正常,双侧附件正常。初步诊断:会阴侧切疤痕子宫内膜异位症。给予丹那唑治疗4个月,硬结明显缩小,局部疼痛减轻。停药后肿块再度增大,行经时疼痛难忍,故于1986年4月10日入院治疗。在硬外麻下行会阴疤痕结节剔除术。术后病理诊断:会阴纤维结缔组织中子宫内膜异位症。 例2 30岁,因下腹疼痛3年半,加剧半年,脐周出现肿块1年半而入院。3年前曾行剖宫产术,产后出现下腹不适,术后1年半发现腹部脐下方有一肿物,月经期肿物疼痛,并呈进行性加剧,肿块逐渐增大,半年来下腹痛加剧,以月经期为重。体查,在脐周偏右下方 Example 1 31 years old, in April 1983 underwent lateral vulva dissection and low forceps delivery. After six months of post-natal resuscitation, 1 year after surgery conscious genital scar there is a small tumor, each menstrual pain, local induration gradually increased, was progressive increase, resulting in discomfort. Maternal seizure: vulva no inflammation, perineal scars have a hard knot 4 × 2.5 × 2cm large, no swelling, tenderness, smooth vaginal wall, cervix Ⅱ degree erosion, posterior uterus, normal size, normal bilateral attachment. Initial diagnosis: episiotomy scars endometriosis. Danazol therapy for 4 months, significantly reduced induration, local pain relief. After stopping the tumor again increased pain during menstruation, it was April 10, 1986 admitted to hospital. Perineal scars nodular excision in the hard outer. Postoperative pathological diagnosis: perineal fibrous connective tissue in endometriosis. Case 2 30 years old, abdominal pain for 3 years and a half, aggravating six months, umbilical weeks appeared mass 1 and a half years and admitted. 3 years ago had cesarean section, postpartum abdominal discomfort after 1 and a half years after the abdomen found under the umbilical a mass, menstrual pain, and was progressively aggravate, gradually increased mass, lower abdominal pain intensified in the past six months , Menstrual period is heavy. Physical examination, in the lower right umbilical weeks