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目的通过治疗剖宫产腹壁切口子宫内膜异位症,分析其发病机制、临床症状及治疗。方法回顾长垣县人民医院2010—2011年收治剖宫产腹壁切口子宫内膜异位症患者32例,进行手术治疗,切除肿物活检检查。结果全部患者均治愈出院,治愈率100.00%。通过6～12个月随访,未见复发或复发倾向,无疼痛或肿胀症状,触诊:未见异常,无压痛反跳痛。视诊:皮肤恢复正常。B超检查:未见肿块,周围组织正常,血流丰富。结论剖宫产腹壁切口子宫内膜异位症只要是采取有利的预防措施,避免或减少剖宫产、取胚术,都可以有效降低发病率。无法避免剖宫产,应尽量保护切口,术后冲洗,都可以预防发病。一经确诊,积极手术治疗。
Objective To analyze the pathogenesis, clinical symptoms and treatment of endometriosis by cesarean section incision. Methods Retrospective 32 patients with endometriosis underwent abdominal incision of cesarean section in Changyuan People’s Hospital from 2010 to 2011 were treated with surgery and resection of tumor biopsy. Results All patients were cured and discharged, the cure rate was 100.00%. Through 6 to 12 months follow-up, no recurrence or recurrence tendency, no pain or swelling symptoms, palpation: no abnormalities, no tenderness and rebound tenderness. Visual Diagnosis: Skin returned to normal. B-ultrasound: no mass, normal tissue around, rich blood flow. Conclusions Cesarean section abdominal incision endometriosis as long as it is to take favorable preventive measures to avoid or reduce cesarean section, embryo surgery, can effectively reduce the incidence. Cesarean section can not be avoided, should try to protect the incision, postoperative rinse, can prevent the disease. Once diagnosed, positive surgical treatment.