剖宫产腹壁切口子宫内膜异位症临床分析

Clinical Analysis of Cesarean Section Incisional Endometriosis

目的:探讨剖宫产术后腹壁切口子宫内膜异位症的诊断、致病因素及治疗方法。方法:回顾性分析我院收治的45例剖宫产术后腹壁切口子宫内膜异位症患者的临床资料,按治疗方式将患者分为手术组(33例)与药物组(12例),观察两组患者的治疗效果,并进行分析。结果:33例手术治疗患者治愈32例;12例药物治疗患者治愈7例,手术治愈率(96.97%)明显高于药物治愈率(58.33%),差异具有统计学意义(P<0.05)。结论:手术治疗腹壁切口子宫内膜异位症的有效治愈率明显高于药物治疗;对行剖宫产术的产妇必须使手术切口整齐,注意保护腹部切口,及时清洗伤口,以预防产妇腹壁切口子宫内膜异位症的发生。

Objective：To investigate the abdominal incision after cesarean section endometriosis diagnosis,risk factors and treatment.Methods：A retrospective analysis of 45 patients admitted to our hospital Cesarean section incisional endometriosis in patients with clinical data,patients were divided according to surgical treatment group（33 cases） and drug group（12 cases）,patient outcomes were observed and analyzed.Results：33 cases of surgical treatment were cured 32 cases;12 cases of drug treatment were cured,7 cases cure rate（96.97%） was significantly higher than the drugs cure rate（58.33%）,the difference was statistically significant（P〈0.05）.Conclusion：Surgical treatment of incisional endometriosis cure rate was significantly higher than the effective drug treatment;for maternal cesarean section incision must be neat,to protect the abdominal incision,cleaned the wound,to prevent maternal abdominal incision the occurrence of endometriosis.