腹壁切口子宫内膜异位症临床分析

目的探讨腹壁切口子宫内膜异位症的临床特点、诊治方法及预防情况。方法回顾性分析2007年2月-2011年8月收治的295例经病理诊断确诊为腹壁切口子宫内膜异位症患者的临床资料。结果患者术前均有过腹部手术史，其中99％为剖宫产史。患者年龄为（31．6±4．5）岁。病灶大小为（2．66±1．12）cm，显著大于术前超声检查的平均大小（1．91±0．83）cm（P〈0．05）。术后随访5个月～3年，无复发。结论结合病史、典型的临床症状和体征、超声等辅助检查，腹壁切口子宫内膜异位症的诊断并不困难。预防此病的发生很重要。手术治疗仍为腹壁切口子宫内膜异位症的最佳治疗方法。

Clinical Analysis of Abdominal Wall Endometriosis

Objective To discuss the clinical characteristics, treatment and prevention of abdominal wall endometriosis （AWE）. Methods A retrospective analysis of 295 cases of AWE from February 2007 to August 2011 in our hospital was performed. Results All of the patients had abdominal operations before and 99% of them had a history of caesarean section. The mean age of the patients was （31.55 ±4.52） years old. The average size of the mass was （2.66± l. 12） cm, significantly larger than the estimation of ultrasonography before operation which was （1.91 ±0.83） cm （P 〈 0.001）. No relapse was discovered five months to three years after the operation. Conclusions It is easy to diagnose abdominal wall endometriosis through medical history, clinical characteristics, physical signs and ultrasonic assessment. The prevention of AWE is very imoortant. Operation is still the best treatment for AWE.