腹壁子宫内膜异位症20例临床分析

目的探讨腹壁子宫内膜异位症的发病特点、临床诊治及预防。方法回顾性分析我院2001—2009年收治的20例腹壁内膜异位症患者的临床特点、诊治方法及随访情况。结果20例患者潜伏期平均为27．7月；75％的患者有典型的症状；患者全部行手术治疗，84．2％的病灶位于剖宫产疤痕角部，1例位于左下腹腹腔镜穿刺孔；病灶直径平均3．1em；病灶累及腹直肌前鞘17例，累及肌层2例，累及腹膜层1例，其中19例行常规缝合，1例行减张缝合；术后病检19例为腹壁内异症，1例为腺癌；术后随访1~3年无复发。结论医护人员需要全面认识腹壁内异症，重视预防，正确诊断，及时治疗，同时对患者要普及教育，是正确对待该病的关键。

Clinical analysis on characteristics, diagnosis and treatment of 20 cases of abdominal wall endometriosis

Objective To investigate the clinical characteristics, treatment and prevention of abdoninal wall endometriosis. Methods A retrospective study was performed on 20 cases from 2001 to 2009 in our hospital. The clinical characteristics, diagnosis, treatment and follow-up were analyzed.Results The mean interval from the surgery to presentation with mass was 27.7 months. 75％ presented with characteristic symptoms. All patients were performed with wide local excision. 84.2％ were on the comer of incision scar, 1 case on the left side of celioscope scar. The mean diameter of mass was 3.1 cm. The deeply infiltrating tissues of masses: fascia 17 cases, muscle 2 cases, peritoneum 1 case. 19 cases were routine suture and 1 case with bolster suture. Pathologic test: 19 cases were abdominal wall endometriosis and 1 case was adenocarcinoma. No recurrence was found in 1 to 3 years' follow-up after operation.Conclusions Doctors and nurses should have an overall recognization of abdominal wall endometriosis.The important thing is to pay attention to prevention, right diagnosis, timely treatment and make the disease knowledge well-known and popular to the patients.