腹壁子宫内膜异位症研究进展

 腹壁子宫内膜异位症（abdominal wall endometriosis，AWE）是指具有生长活力的子宫内膜组织在腹壁异常生长,是盆腔外子宫内膜异位症中非常常见的一种类型。多数AWE病例继发于剖宫产术后，直接种植理论认为手术操作将子宫或腹腔内游离的内膜碎片种植至腹壁切口，但无法解释无手术史的病例。术后逐渐增大的触痛结节是腹壁内异症最常见的表现,因此常被误诊为疝、血管瘤等。详细地询问病史和体格检查，以及超声、CT、核磁共振与针孔穿刺细胞学检查有助于作出正确诊断。腹壁子宫内膜异位症的药物治疗不理想，目前倾向于手术治疗，疗效显著。AWE虽为良性疾病却具有与恶性疾病相类似的表现，如复发，甚至恶变。本文从其发生、临床表现、诊治及转归等方面对AWE作一综述。

Recent advances in the study of abdominal wall endometriosis

Abdominal wall endometriosis(AWE) is defined as endometrial tissue superficial to the peritoneum.Many cases of AWE are associated with cesarean section scars.Thus,AWE is often misdiagnosed as a hernia or hematoma.The most common presentation of AWE is the development of a painful mass after uterine surgery.Many patients with AWE are associated with a previous surgical incision.Careful history and physical examination is essential to make correct diagnosis.Studies such as ultrasound,CT,MRI,and FNA are helpfu...