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目的:探讨腹壁子宫内膜异位症(AWE)的发病因素、临床特点、诊断与治疗方法。方法:回顾性分析南京鼓楼医院2007年1月至2013年5月入院手术的58例AWE患者的临床资料。结果:本院剖宫产术后AWE的发病率为0.32%。58例患者均为首次足月剖宫产术后,其中48例(82.7%)在发病期间产生不同程度的疼痛,所有患者腹壁切口周围均可触及实性包块,98.3%的病灶位于腹壁切口的边缘。AWE患者的发病潜伏期平均为34.8个月(4~104个月)。AWE的术前超声检出率为100%,病灶侵犯程度检出率较差。所有患者均手术切除病灶,均为一期切口愈合,定期门诊复查无病例复发。结论:典型的临床症状和超声检查可作为AWE的诊断方法,手术是治疗AWE的主要和有效方法。
Objective: To investigate the pathogenesis, clinical features, diagnosis and treatment of endometriosis of the abdominal wall (AWE). Methods: The clinical data of 58 patients with AWE admitted to Nanjing Drum Tower Hospital from January 2007 to May 2013 were retrospectively analyzed. Results: The incidence of AWE after cesarean section in our hospital was 0.32%. Fifty-eight patients were the first full-term cesarean section, of which 48 (82.7%) had varying degrees of pain during the onset of the disease. All patients had solid masses around the abdominal incision and 98.3% of the lesions were located in the abdominal incision the edge of. The average incubation period for AWE patients was 34.8 months (4 to 104 months). The preoperative ultrasound detection rate of AWE was 100%, and the detection rate of lesions was poor. All patients were surgically removed lesions, are a wound healing, recurrence without recurrence of regular clinic. Conclusion: The typical clinical symptoms and ultrasonography can be used as a diagnostic method for AWE. Surgery is the main and effective method for the treatment of AWE.