临床剖宫产术后腹壁切口子宫内膜异位症分析

目的探讨剖宫产术后腹壁切口子宫内膜异位症发生情况，以采取有效的防治措施。方法对我院17年来收治的26例剖宫产术后腹壁切口子宫内膜异位症病人临床资料进行分析总结。结果病灶均位于腹壁，15例位于皮下脂肪层、9例位于腹直肌与前鞘之间、2例位于腹直肌与腹膜之间。均采用手术治疗，术后随防无复发。结论该病术前诊断主要依据病史、典型症状与体征，腹部B超有助于诊断，CA125检测对本病的诊断价值不大。治疗以手术为主，手术在切除病灶时应同时切除病灶周围的纤维组织，术后可不必服用甾体激素治疗。

Analysis of incision of abdominal wall endometriosis after caesarean birth.

Objective To probe into the symptom and effective prevention measures of incision of abdominal wall endometriosis after caesarean birth.Methods Analyze the clinical material of the 26 patients suffering incision of abdominal wall endometriosis, whom our hospital has given medical treatment in 17 years. Results The foci all lie in abdominal wall. The foci of 15 cases lie in fat lining. 9 cases lie between musculus rectus abdominis and the front sheath. And 2 cases lie between musculus rectus abdominis and peritoneum. The 26 cases are all treated by operation and no one case recur. Conclusions Before operation, diagnosis is mainly made according to medical history, typical symptom and physical sign. Abdominal B ultrasound is helpful to make diagnosis. CA125 does not help too much. So this disease is mainly treated by operation. The focus should be resected and also fibrous tissue around the focus. After operation, it is not necessary to use steroid hormone.