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目的探讨腹壁切口瘢痕子宫内膜异位症的相关因素、诊断、治疗和预防。方法对36例妇产科手术后腹壁切口瘢痕子宫内膜异位症的发病原因、诊断、治疗方法及治疗效果进行回顾分析。结果均有子宫内膜相关手术操作史,术后闭经时间短,有周期性切口处疼痛和逐渐增大的包块,彩超可协助诊断;手术切除病灶加口服孕激素36例患者均治愈并未复发。结论规范手术操作,延长术后闭经时间,可预防腹部切口子宫内膜异位症发生,根据病史、临床表现、彩超可明确诊断,手术切除加口服孕激素是腹壁瘢痕子宫内膜异位症确实有效的治疗方法。
Objective To investigate the related factors, diagnosis, treatment and prevention of endometriosis in abdominal incision. Methods The etiological factors, diagnosis, treatment and treatment of 36 cases of endoscopic scar endometriosis after abdominal surgery were retrospectively analyzed. The results were endometrial surgery related history, amenorrhea after a short period of time, with periodic incision pain and gradually increased mass, color Doppler ultrasound can help diagnose; surgical removal of the lesions plus oral administration of progesterone were cured in 36 patients were not relapse. Conclusions Standardizing surgical procedures and prolonging the time of post-operative amenorrhea can prevent the occurrence of endometriosis in abdominal incision. According to the history and clinical manifestations, ultrasonography can confirm the diagnosis. Surgical resection plus oral administration of progesterone is true of abdominal scarring endometriosis Effective treatment.