腹壁子宫内膜异位症的临床资料分析

Clinical analysis of abdominal wall endometriosis

目的:分析腹壁子宫内膜异位症临床资料,探讨有效的治疗方法和预防措施。方法:回顾性分析233例腹壁子宫内膜异位症的临床资料,应用t检验、χ~2检验、多因素方差分析分析临床资料。结果:233例腹壁子宫内膜异位症,均为腹部术后腹壁瘢痕子宫内膜异位症。患者年龄≥35岁的潜伏期长于年龄<35岁者,差异有统计学意义(P<0.05)。腹膜型结节大小大于筋膜型以及肌肉型(P<0.05)。血清CA125值有助于腹壁子宫内膜异位症分型:筋膜型>前鞘肌肉型>腹膜型,术后是否追加Gn RHa治疗对于术后复发差异无统计学意义。结论:超声和CA125值有助于腹壁子宫内膜异位症的诊断与分型,手术治疗中广泛的局部切除和切缘阴性是预防复发的关键。

Objective:To analyze the clinical data of abdominal wall endometriosis(AWE),and to explore effective treatment methods and preventive measures for abdominal wall endometriosis.Methods:The clinical data of 233 cases of abdominal endometriosis were retrospectively analyzed.The clinical data were analyzed by t test,Chi-square test and ANOVA.Results:All of the 233 cases of abdominal endometriosis were with abdominal scar endometriosis.The latency in patients at age over 35 years was longer than that in patients with the age of under 35 years,and the difference was statistically significant(P<0.05).The nodule size in peritoneal type was larger than that in fascia type and muscle type(P<0.05).Serum CA125 value was used to distinguish the type of AWE.The serum CA125 value in fascia type was higher than that in muscle type,which was higher than that in peritoneal type.Postoperative GnRHa treatment had no impact on postoperative recurrence.Conclusion:Ultrasound and serum CA125 examination can help make diagnosis and distinguish types.The extensive local resection and negative margin in the surgical treatment is the key to the prevention of recurrence.