论文部分内容阅读
目的探讨剖宫产术后腹壁切口瘢痕子宫内膜异位症的临床特点,为临床诊断、治疗和预防提供依据。方法回顾性分析腹壁切口瘢痕子宫内膜异位症10例的临床资料,所有病例均采取手术治疗彻底切除病灶,观察疗效。结果子宫内膜异位症病灶直径1.0～5.0cm,与周围组织边界不清,其中病灶位于皮下脂肪层2例、向下侵及腹直肌前筋膜7例、异位结节源自腹膜1例,病理组织学回报均证实为异位病灶。术后观察无复发。结论手术彻底切除病灶是腹壁切口瘢痕子宫内膜异位症有效的治疗方法,剖宫产术中冲洗切口部位是预防其发生的重要措施。
Objective To investigate the clinical features of scar endometriosis after cesarean section incision, and to provide evidence for clinical diagnosis, treatment and prevention. Methods The clinical data of 10 cases of endometriosis of abdominal incision scar were analyzed retrospectively. All the cases were treated by surgery to completely remove the lesions and observe the curative effect. Results The diameter of endometriosis lesions was 1.0-5.0 cm in diameter, with unclear border with the surrounding tissues. The lesions were located in subcutaneous fat layer in 2 cases, down invasion and anterior rectus fascia in 7 cases. Ectopic nodules originated from peritoneum 1 cases, histopathological findings were confirmed as ectopic lesions. No recurrence observed after surgery. Conclusion The complete excision of the lesion is an effective method for the treatment of endometriosis due to incision in the abdominal wall. It is an important measure to prevent incision in the cesarean section.