腹壁会阴切口子宫内膜异位症30例临床分析

目的探讨腹壁子宫内膜异位症(内异症)的发病机制、诊断和治疗。方法回顾性分析我院1987年-2003年收治的30例腹壁会阴切口内异症的临床特点、治疗方法。结果30例患者中,腹壁内异症患者22例,均有剖宫产手术史,会阴EP切口内异症8例。均有典型周期性腹痛,肿块,手术切除均取得良好效果,未有复发。结论子宫内膜异位种植是本症的主要发病机制。根据典型的症状、体征,结合B超可正确诊断。彻底手术是唯一确实有效的治疗方法。

Clinical analysis of 30 cases of Endometriosis with abdominal wall and perineum incision

Objective To study the pathogenesis, diagnosis and treatment of endometriosis of abdominal wall and perineum incision.Methods We retrospectively reviewed 30 cases with endometriosis of abdominal wall and perineum between 1987 and 2003.Results In 30 cases, 22 patients had abdominal wall endometriosis, who all had a history of cesarean section. 8 cases had perineal endometriosis. All 30 cases had periodic abdominal pain and mass. Surgical excision is efficient. No one recurred.Conclusion The major pathogenesis is endometrium ectopia and implantation. Endometriosis of abdominal wall and perineum could be diagnosed by typical symptom, sign and ultrasound. Surgical excision can be only effective treatment.