剖宫产腹壁切口子宫内膜异位症36例临床分析

目的探讨腹壁切口子宫内膜异位症的诊治和预防。方法对我院2005年1月至2010年12月收治的36例腹壁切口子宫内膜异位症患者的临床资料进行回顾性分析。结果 36例手术均取得满意效果。术中见12例肿块位于皮下,18例位于腹直肌前鞘,6例肿块累及腹膜。术后有5例患者服用孕三烯酮3个月,其余患者未用药。随访6个月～2年均无复发。结论手术中应加强无茵意识,严格无菌操作规程,术中做好腹壁切口的防护可避免和减少腹壁切口子宫内膜异位症的医源性传播。经正确诊断并及早治疗,剖宫产术后腹壁切口的子宫内膜异位症是可以治愈的。

Analysis of 36 Cases of Cesarean Section Abdominal Incisional Endometriosis

Objective To explore the abdominal wall incision endometrial endometriosis of the treatment and prevention. Methods Clinical data of 36 cases of abdominal incision endometrial endometriosis patients admitted to hospital in January 2005-December 2010 were retrospectively analyzed. Results 36 cases of surgery have achieved satisfactory results. Operation located in the subcutaneous mass in 12 cases, 18 cases in the rectus sheath, six cases of tumor involving the peritoneum. After five cases of patients taking gestrinone three remaining patients untreated. Followed for 6 months to 2 years without recurrence. Conclusion Surgery should strengthen awareness of aseptic strict aseptic operating procedures, intraoperative iatrogenic transmission to do the protection of the abdominal incision to avoid and reduce abdominal incision endometriosis. Correct diagnosis and early treatment of endometriosis after cesarean section abdominal incision can be cured.