剖宫产术后腹壁切口子宫内膜异位症21例临床分析

目的：探讨剖宫产术后腹壁切口子宫内膜异位症（AWE）的发病机制、临床诊治及预防措施。方法：回顾性分析我院收治的22例剖宫产术后腹壁切口子宫内膜异位症患者的临床资料。结果：AWE诊断主要依靠典型的痛史、临床表现及辅助检查。术后病理检查，22例均行异位病灶切除术，术后病理结果与临床诊断相吻合，无一例复发。结论：手术切除为AWE惟一有效治疗方法，剖宫产术中避免蜕膜组织和子宫内膜间质成分散落术区，保护腹壁切口，避免子宫内膜种植是预防AWE的关键。

After cesarean section abdominal incision endometriosis 21 patients with clinical analysis

objective ： to study the abdominal wall after cesarean section incision abdominal wall endometriosis （AWE） endometrioma, the pathogenesis, clinical diagnosis, treatment and prevention measures. Methods： a retrospective analysis were 22 cases from abdominal wall after cesarean section incision endometriosis patients for clinical data. Results： AWE diagnosis should mainly rely on the typical history, clinical manifestations and auxiliary inspections, postoperative pathologic examination confirmed main basis for 22 cases, do ectopic lesions resection, and postoperative pathologic result and clinical diagnosis coincide, postoperative follow- up no case was recurrence. Conclusion： surgical resection is the only effective treatment of AWE, cesarean section to avoid exuviate membrane organizations and endometrial interstitial composition intraoperative area, protect scattered, avoid abdominal incision endometrial planting is the key to preventing AWE.