剖宫产术后腹壁子宫内膜异位症6例临床分析

目的：探讨剖宫产术后腹壁子宫内膜异位症的病因诊断和治疗。方法：对我院2001年1月～2006年12月妇产科剖宫产术后6例子宫内膜异位症的诊断和治疗,进行回顾性研究。结果：所有病例均行病灶切除,随访1～6年均无复发。结论：剖宫产术后子宫内膜异位症的发生与术中的不当操作及个体差异有关,可根据病史、典型临床表现、B超等作出诊断,手术治疗是首选方法,手术时机的合理选择,术中正确处理及术后假绝经治疗有利于伤口愈合和防止复发。

Clinical analysis of the abdominal wall endometrioma after cesarean section in 6 cases

Objective:To discuss the etiological diagnosis and treatment of the abdominal wall endometrioma after cesarean section.Methods: 6 cases with abdominal wall endometrioma , who accepted cesarean section in our hospital from Jan 2001 to Dec 2006 , were analyzed retrospectively. Results: The operative mode was all focal excision, and the cases were under follow-up survey for 1~6 years after operation. Conclusion: The occurrence of the abdominal wall endometrioma after cesarean section relates to the unsuitable operation and individual difference. It can be diagnosed by medical history, typical clinical manifestation, B-ultrasound and etc.The surgery treatment is the first choice method. The reasonable operation timing, suitable intraoperative treatment and postoperative pseudo-menopause treatment are beneficial to the wound healing and recurrence preventing.