剖宫产术后腹壁切口子宫内膜异位症临床探究

Clinical Study of 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特点。方法选取我院2012年1月至2017年1月收治的288例剖宫产术后腹壁切口子宫内膜异位症患者为研究对象,观察所有患者临床资料及预后效果。结果 (1)术后情况及随访结果:所有患者均进行病灶一次性切除,术后4年复检得知,其增生纤维结构组织中,间质分化情况良好,子宫内膜腺体无异常,同时4年随访时间内,288例患者复发0例,复发率为0.0%;(2)288例患者中非常满意200例,满意80例,不满意8例,综合满意度为97.2%,随访显示其满意度较高。结论剖宫产术后腹壁切口子宫内膜异位症本身具有特殊性,通过临床表现可尽早进行病症诊断,手术治疗方式较为有效,拥有见效快、无复发等优点,值得推广。

Objective To investigate the clinical features of abdominal incision endometriosis after cesarean section. Methods A total of 288 patients with abdominal incision endometriosis after cesarean section were selected from January 2012 to January 2017 in our hospital. The clinical data and prognosis of all patients were observed. Results （1） Postoperative outcome and followup results： All patients underwent one-time resection of the lesion, and 4 years after the re-examination revealed that the proliferation of fibrous tissue, interstitial differentiation in good condition, no abnormal endometrial glands, While in the 4-year follow-up period, 288 patients relapsed in 0 cases and the recurrence rate was 0.0%.（2） Among 288 patients, 200 patients were satisfied, 80 satisfied and 8 unsatisfactory. The comprehensive satisfaction rate was 97.2% Show higher satisfaction. Conclusion The abdominal incision endometriosis after cesarean section has its own particularity. It can diagnose the disease as early as possible through clinical manifestations. The operative treatment is more effective and has the advantages of quick response and no recurrence. It is worth promoting.