剖宫产术后腹壁切口子宫内膜异位症39例诊疗分析

目的 分析研究剖宫产术后腹壁切口子宫内膜异位症(AIEMS)的临床诊断、治疗方法及预防措施.方法 回顾性分析我院2010年5月至2011年5月39例剖宫产术后腹壁切口子宫内膜异位症患者的临床资料.将39例患者根据治疗方法分为观察组(21例)和对照组(18例).观察组采用手术治疗,对照组采用孕三烯酮药物进行治疗,观察记录二组患者的临床效果及术后复发率.结果 观察组患者术后均痊愈,治愈率100%,对照组18 例患者中治愈10 例,治愈率55.56%,二组患者治愈率比较差异有统计学意义(P<0.05).治疗前,二组患者切口肿块、切口痛、经期肿块增大、经后期缩小差异无统计学意义(P>0.05);治疗后,观察组21例患者症状基本消失,对照组部分患者症状好转或消失,二组患者比较差异有统计学意义(P<0.05).术后随访6~12 个月,观察组无1 例复发,对照组6例复发,二组复发率比较差异有统计学意义(P<0.05).结论 剖宫产术后腹壁切口子宫内膜异位症的发生是一种医源性子宫内膜异位症.手术是唯一有效的方法,降低剖宫产率,规范剖宫产手术,术中保护腹壁切口是预防的关键.

Clinical diagnosis and treatment of abdomin alincision endometriosis

Objective To investigate the clinical diagnosis,treatment and precaution of abdomin alincision endometriosis.Methods A retrospective analysis of clinical data was conducted in 39 patients with abdomin alincision endometriosis who were admitted in our hospital from May 2010 to May 2011,and they were divided into observation group in 21 cases and control group in 18 cases.The observation group were treated with surgical intervention,The control group were treated with gestrinone.The curative effects and relapse rate were compared between the two groups.Results There were 39 cases markedly effective in the observation group,the total effective rate was 100%;in the control group,10 cases were markedly effective,the total effective rate was 55.56%.There were significant differences between the two groups(P< 0.05).There were no significant differences between the two groups with menstruation cut ache and tumour size(P>0.05),and after treatment,there were significant differences between the two groups with menstruation cut ache and tumour size(P< 0.05).All cases got the follow-up survey from 6 to 12 months,There was no recurrence in the observation group and 6 cases recurrence in the control group,there were significant differences between the two groups(P< 0.05).Conclusions Abdomin alincision endometriosis was an iatrogenic endometriosis,surgical intervention is an ideal treatment.