剖宫产后腹壁子宫内膜异位症的临床分析

目的:探讨剖宫产后腹壁子宫内膜异位症(AWE)的临床特点及复发情况。方法:对18例确诊为腹壁子宫内膜异位症患者的发病率、诊断、治疗及复发情况进行回顾性分析。结果:腹壁子宫内膜异位症患者占同时期子宫内膜异位症的3.06%(18/589),占剖宫产的0.16%(18/11143)。18例患者中有16例剖宫产术后在腹部切口疤痕处发现周期性疼痛性肿块,所有患者均接受病灶切除术并经病理证实。结论:剖宫产后腹壁子宫内膜异位症根据典型的症状、体征可正确诊断,手术切除病灶是最佳的治疗方案和防止复发的关键。

Clinical analysis on endometriosis of abdominal wall after cesarean section

Objective:To explore the clinical features and the recurrence of endometriosis of abdominal wall after cesarean section.Methods:The incidence,diagnosis,treatment and recurrence of 18 patients diagnosed as endometriosis of abdominal wall were analyzed retrospectively.Results:Endometriosis of abdominal wall in the hospital accounted for 3.06%(18/589) of endometriosis and accounted for 0.16%(18/11 143) of cesarean section during the same period.Among 18 patients,16 patients were found with periodic and painful masses at the abdominal incision scar,all the patients received surgery and confirmed by pathology.Conclusion:The patients with endometriosis of abdominal wall after cesarean section can be diagnosed correctly according to typical symptoms and signs.Surgical resection of the lesions is the best treatment and prevention of recurrence.