腹壁切口子宫内膜异位症32例临床分析

Endometriosis in patients underwent uterine-incision delivery:a clinical analysis of 32 cases

目的:探讨剖宫产术后腹壁切口子宫内膜异位症的发病机制,临床诊治及预防措施。方法:对收治的继发于剖宫产术后的腹壁切口子宫内膜异位症患者32例临床资料进行回顾性分析。结果:本组患者32例,24例(75.00%)病灶位于皮下脂肪及腹直肌前鞘,6例(18.75%)病灶向下浸及腹直肌,2例(6.25%)病灶累及腹直肌后鞘及腹膜。所有患者均行局部病灶切除,切除范围达病灶外1～1.5cm正常组织,术后随访未见复发。结论:严格掌握剖宫产指征,降低剖宫产率,提高剖宫产的手术质量,可预防腹壁切口子宫内膜异位症。

Objective：To explore the diagnosis,prevention and treatment of endometriosis after uterine-incision delivery.Methods：Data of 32 cases of endometriosis after uterine-incision delivery were retrospectively analyzed.Results：Endometriosis lesions in 24 of the 32 patients（75.00%） were located in subcutaneous fat or rectus sheath,while infiltrated the rectus abdominis muscle in 6 cases（18.75%）;for another 2 cases（6.25%） rectus abdominis sheath and peritoneum were involved too.All patients underwent local excision of 1.0-1.5 cm of normal tissue outside the lesions.Follow up revealed no recurrence.Conclusion：Strict control of cesarean delivery indications can decrease the incidence and improve its quality,thus help to prevent endometriosis.