腹壁、会阴切口疤痕子宫内膜异位症15例临床分析

Clinical Analysis of 15 Endometriosis with Abdominal and Perineal Incisions Scar

目的 :探讨腹壁、会阴切口疤痕子宫内膜异位症的病因、诊断及治疗。方法 :对 15例腹壁、会阴切口疤痕子宫内膜异位症进行临床分析。结果 :子宫内膜异位种植是本症的主要发病原因 ;与月经周期同步 ,周期性疼痛发作性肿块 ,为其主要临床特点及诊断依据 ;单用药物治疗一般不能达到预期效果 ,应以手术切除病灶为主。结论 :手术切除异位病灶是治疗本症的首选方法 ;预防本症的关键是尽量避免和减少子宫内膜组织散落和遗留在手术切口上。

Objective: To study the pathogenesis diagnosis and treatment methods of endometriosis in the abdominal and perineal incision scar. Methods: 15 cases of endometriosis in the abdominal and perineal incision scar were collected and analyzed. Results: Endometrial in plantation is the main cause of the disease and the typical clinical characteristics was the periodical pain and mass which flared up in the menstrual cycle. It could not be got the anticipated effect through drug treatment only. So the first importmant treatmant method was to excise the endometriotic focus completly. Conclusion: The surgical treatment is of choice and the key prevention is to avoid and decrease the endometrium dispersion left on the incision as far as possible.