摘要
目的探讨剖宫产术后腹壁切口瘢痕子宫内膜异位症的临床特点,为临床诊断、治疗和预防提供依据。方法回顾性分析腹壁切口瘢痕子宫内膜异位症10例的临床资料,所有病例均采取手术治疗彻底切除病灶,观察疗效。结果子宫内膜异位症病灶直径1.0～5.0cm,与周围组织边界不清,其中病灶位于皮下脂肪层2例、向下侵及腹直肌前筋膜7例、异位结节源自腹膜1例,病理组织学回报均证实为异位病灶。术后观察无复发。结论手术彻底切除病灶是腹壁切口瘢痕子宫内膜异位症有效的治疗方法,剖宫产术中冲洗切口部位是预防其发生的重要措施。
Objective To determine the clinical features of endometriosis in Cesarean scar in abdominal wall,in order to provide theoretical basis for clinical diagnosis and treatment.Methods 10 cases of endometriosis were reviewed.All the cases were treated with operation therapy thoroughly in order to remove the lesion.Results The diameters of the lesion were from 1.0 cm to 6.0 cm,and had an unclear boundary.The diagnosis of endometriosis was confirmed by pathologists.Observation showed that none was recurred after operation.Conclusion Complete surgical removal is the only definitely effective method for treatment of endometriosis,and the key of avoiding transplantation of endometrium into the abdominal wall is cleaning the abdominal incision.
出处
《总装备部医学学报》
2009年第3期142-143,共2页
Medical Journal of General Equipment Headquarters
