剖宫产后腹壁子宫内膜异位症的临床诊治分析

Diagnosis and treatment of endometriosis in abdominal wall incision after cesarean section

目的分析研究剖宫产术后腹壁切口子宫内膜异位症的发病机理及防治措施。方法回顾性分析2010年1月至2011年12月治疗的9例剖宫产术后腹壁切口子宫内膜异位症患者的临床资料。结果 9例患者均有剖宫产手术史,均在下腹原切口处触及一个质硬包块,6例患者月经期包块增大有触痛,经后期包块缩小,疼痛缓解;另3例触痛不明显。9例患者均行手术切除包块,术后病检结果支持腹壁切口子宫内膜异位症,术后随访无复发。结论剖宫产术后腹壁切口子宫内膜异位症根据病史、症状、体征并结合B超可初步诊断,术后病理确诊,预防该病的发生极为重要,手术是首选的治疗方法,切除的彻底性是治疗本病的关键。

Objective To explore the mechanism and measures of endometriosis in abdominal wall incision after cesarean section. Methods A total of 9 cases with endometriosis in abdominal wall incision after cesarean section from January 2010 to December 2011 were retrospectively analyzed. Results Nine cases have history of cesarean section, and all of them have menstrual pains. Tenderness mass can be found. It will alleviate and decrease after the menstrual period. All the cctopia masses have been removed without any recurrence. Conclusions The primary diagnosis of abdominal wall incision endometriosis may be based on medical history, typical clinical features with B-ultrasound, but the final diagnosis needs postoperative patho logical diagnosis. Surgery is the preferred method of treatment, and the operation resection is the key treatment for this disease.