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目的:研究剖宫产术后腹壁切口子宫内膜异位症的发生原因,及其防范措施。方法:回顾分析2008年01月-2012年12月宝应县妇幼保健院收治的10例患者的临床资料,对其治疗和结果进行评价。结果:所有患者均行病灶切除术,术后抗感染治疗,使切口愈合无复发。结论:预防剖宫产手术切口子宫内膜异位症的发生主要是防止子宫内膜碎片种植、手术时要保护好盆腔及切口,缝合手术时不能穿透子宫内膜层,杜绝腹壁切口子宫内膜异位症的医源性传播。
Objective: To study the causes of abdominal incision endometriosis after cesarean section and its preventive measures. Methods: The clinical data of 10 patients admitted to Baoying Maternal and Child Health Care Hospital from January 2008 to December 2012 were retrospectively analyzed, and their treatment and outcome were evaluated. Results: All patients underwent resection of the lesion and anti-infective treatment after operation, which made the incision heal without recurrence. Conclusion: Prevention of cesarean section surgical incision endometriosis is mainly to prevent the implantation of endometrial fragments, surgery to protect the pelvic and incision, suture surgery can not penetrate the endometrial layer, to prevent abdominal incision in the uterus Idiopathic iatrogenic transmission.