腹壁切口内膜异位症产生的相关因素分析

目的：探讨行经子宫手术中清洗腹壁切口、规范使用可吸收线对预防切口内膜异位症的价值。方法：选取我院2005年11月～2009年12月剖宫产和子宫肌瘤剔除术中使用清洗腹壁切口、丢弃缝合子宫后的可吸收线的患者3000例作为观察组,2000年10月～2005年10月行剖宫产和子宫肌瘤剔除术中未使用清洗腹壁切口、丢弃缝合子宫后的可吸收线患者2100例作为对照组。分析两组发生切口内膜异位症的相关因素。结果：观察组和对照组经子宫手术后发生腹壁切口内膜异位症的几率分别为0.10%（3/3000）及0.86%（18/2100）,两组比较有显著性差异（P〈0.01）。结论：经子宫手术中清洗腹壁切口、丢弃缝合子宫后的可吸收线可达到预防切口内膜异位症的作用,值得推广。

Analysis of the related factors produced by incisional endometriosis

Objective：To discuss the values by cleaning abdominal wall and standard use of absorbable suture in the uterus surgery. Methods：3 000 cases of patients（observation group） with cesarean section and myomectomy from November 2005 to December 2009 in our hospital used cleaning abdominal wall and abandoning the used absorbable line,2 100 cases（control group） from October 2000 to October 2005 did not use cleaning abdominal wall and the absorbable line,the factors of the two groups were analyzed. Results：The occurrence of incisional endometriosis in the observation group was 0.10%（3/3 000） and was 0.86%（18/2 100） in the control group. There was a significant difference（P〈0.01） . Conclusion：Cleaning abdominal wall and abandoning absorbable suture in the cesarean section could prevent the incisional endometriosis,it is worthy of promotion.