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目的探讨剖宫产术后腹壁切口子宫内膜异位症的临床表现、影响和治疗方法。方法选取15例剖宫产术后腹壁切口子宫内膜异位症患者进行手术配合药物治疗。结果所有患者在手术前均无子宫内膜异位症,患者在剖宫产术后腹壁切口处出现有粘连固定的硬质的包块;彩色多普勒超声检查显示包块内血流信号不明显,仅有少量血流呈点状或线状流动;行手术切除治疗是首选;术后的复诊证明所有患者术后均取得了预期的效果,截至目前无复发。结论子宫内膜异位症的关键是防患于未然,如果发现子宫内膜异位症的出现要及时治疗,手术切除病灶防止再次复发。
Objective To investigate the clinical manifestations, effects and treatment of endometriosis after cesarean section incision. Methods 15 cases of cesarean section after abdominal incision in patients with endometriosis surgery and drug treatment. Results All patients had no endometriosis before surgery. The patient had a rigid, adherent mass in the incision at the abdominal wall after cesarean section. The color Doppler ultrasound showed that the blood flow signal in the mass was not Obviously, only a small amount of blood flow in a dot or linear flow; surgical resection is preferred; postoperative follow-up confirmed that all patients achieved the desired effect after surgery, as of no recurrence. Conclusion The key of endometriosis is to take preventive measures. If the occurrence of endometriosis is found to be timely treatment, surgical resection of the lesion to prevent recurrence.