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目的探讨剖宫产术后腹壁切口子宫内膜异位症治疗疗效。方法选取2014年4月—2015年5月在安阳市妇幼保健院就诊的46例剖宫产术后腹壁切口子宫内膜异位患者作为本文探究对象,根据治疗方法的不同将患者分为药物治疗组(20例)和手术治疗组(26例),并比较两组患者的临床治疗效果及复发率。结果经过有效治疗后,手术组患者均一次成功治愈,临床治愈率为100%,药物治疗组患者仅10例得到成功治愈,临床治愈率为50.0%,未治愈患者最终均给予手术治疗且痊愈,两组患者临床治愈率比较差异具有统计学意义(P<0.05);随访12个月发现,手术治疗组患者无复发病例,而药物治疗组5例患者在停药后可见复发,两组患者复发率比较差异具有统计学意义(P<0.05)。结论手术治疗可有效提高剖宫产腹壁切口子宫内膜异位症患者的临床效果,且可显著降低复发率,该方法具有临床推广意义。
Objective To investigate the curative effect of abdominal incision endometriosis after cesarean section. Methods From April 2014 to May 2015, 46 cases of post-cesarean section incision endometriosis after operation in Anyang MCH hospital were selected as the object of this study. According to the different treatment methods, the patients were divided into drug treatment (20 cases) and surgery group (26 cases). The clinical effect and recurrence rate of the two groups were compared. Results After the effective treatment, the patients in the operation group were successfully cured one time. The clinical cure rate was 100%. Only 10 patients in the drug treatment group were cured successfully. The clinical cure rate was 50.0%. The patients who were not cured were treated with surgery and finally recovered. There was no significant difference between the two groups in the clinical cure rate (P <0.05). At the 12-month follow-up, there was no recurrence in the surgical treatment group, and 5 cases in the drug-treated group showed relapse after stopping the treatment and relapsed in both groups The difference was statistically significant (P <0.05). Conclusion Surgical treatment can effectively improve the clinical effect of cesarean section incision in patients with endometriosis, and can significantly reduce the recurrence rate, the method has clinical significance.