剖宫产术后腹壁切口子宫内膜异位症20例临床分析

The clinical analysis on 20 patients with abdominal incision endometriosis after cesarean section

目的:探讨剖宫产术后腹壁切口子宫内膜异位症临床表现、治疗方法及预防。方法:对2006年3月—2011年8月收治的20例剖宫产术后腹壁切口子宫内膜异位症的患者的临床资料进行回顾性分析。结果:20例子宫内膜异位症患者均经手术治疗,术后随访1年均未复发。结论:剖宫产术是子宫内膜异位症最主要的医源性因素,手术时应用纱布垫保护子宫周围术野,缝合子宫壁时避免缝针穿过子宫内膜层,关腹后冲洗腹壁切口,降低剖宫产术后腹壁切口子宫内膜异位症的发生率。

Objective：To study the clinical feature,treatment method and prevention of abdominal incision endometriosis after cesarean section.Methods：The clinical data of 20 cases with abdominal incision endometriosis after cesarean section was analyzed.Results：Twenty cases were cured by surgery.There was no relapse followed up one year.Conclusion：Cesarean section is the most main iatrogenic factors of endometriosis.It should protect operation field around uterus during surgery,avoid impaling intirna during sewing up uterine wall,wash abdominal incision after closure,lower the incidence rate of abdominal incision endometriosis after cesarean section.