46例腹壁子宫内膜异位症临床分析

目的：探讨腹壁子宫内膜异位症（AWE）的临床特点、治疗方法和预防。方法：回顾性分析1993至2007年两院收治的46例腹壁子宫内膜异位症病例。结果：腹壁子宫内膜异位症发生于剖宫产之后,表现为切口部位出现疼痛肿块并随月经周期变化,有较为典型的病史及临床表现,术前均诊断正确。手术彻底切除,随访2～5年无复发。结论：AWE治疗首选手术,范围应达病灶外1cm。

CLINICAL ANALYSIS OF 46 CASES OF ABDOMINAL WALL ENDOMETRIOSIS

Objective： To investigate the clinical characteristics, treatment and prevention of abdominal wall endometriosis （AWE）. Methods ： A retrospective analysis was performed on 46 patients with abdominal wall endometriosis hospitalized in Obstetric Gynecologic Department of two Hospitals between 1993 and 2008. Results： Abdominal wall endometriosis occurred after caesarean section , showing incision site pain and swelling with changes in the menstrual cycle, and having a rather typical history and clinical manifestations .All were correctly diagnosed preoperatively. Complete surgical resection, followed up from 2 to 5 years without recurrence. Conclusion： Surgical excision of AWE with at least 1 cm out side the edge of AWE should be the first choice.