剖宫产腹壁切口子宫内膜异位症的超声诊断及临床研究

Ultrasound diagnosis and clinical research of cesarean abdominal incision endometriosis

目的：探讨剖宫产腹壁切口子宫内膜异位症的超声诊断及临床分析。方法：通过对26例剖宫产腹壁切口子宫内膜异位症的超声诊断，结合临床进行分析，总结经验，吸取教训。结果：26例剖宫产腹壁切口子宫内膜异位症声像图表现为低回声肿块，无包膜，边界不规则，部分呈无回声。彩色多普勒：包块内部及周边血流信号不丰富，或呈星点状血流信号。结论：剖宫产腹壁切口子宫内膜异位是一种医源性子宫内膜异位症。降低割宫产率是减少该病发生的根本因素。规范剖宫产手术，严格掌握剖宫产手术特征，提高剖宫产手术质量，避免切口种植发生，是预防剖宫产腹壁切口子宫内膜异住的关键。

Objective：To investigate ultrasound diagnosis and clinical analysis of abdominal wall endometriosis of the cesarean sec- tion incision. Through ultrasound diagnosis of the abdominal incision in 26 cases of cesarean section endometriosis, clinical experi- ences were analyzed,lessons learned. Results：Twenty-six cases of cesarean section incisional endometriosis ultrasonography showed hypoechoic mass with no capsule,irregular borders, some had no echo. Color Doppler：mass internal and peripheral blood flow signal is not rich,or star spots blood flow signals. Conclusion： Abdominal incision cesarean section is an iatrogenic endometriosis endometri- osis. To reduce the cesarean section rate is underlying factors to reduce the occurrence of the disease. Standardizing the surgery of the cesarean section,understanding the features of cesarean section strictly, improving the quality of cesarean section and avoiding the occurrence of cut planting,are the key to prevent incisional endometriosis after cesarean section.