剖宫产手术与子宫内膜异位症

Cesarean section and endometriosis

剖宫产切口部位子宫内膜异位症(Cesarean section scar endometriosis,CSE)是指具有分泌功能子宫内膜腺体或间质异位到剖宫产切口瘢痕处。CSE发生率为0.2%～0.45%,目前发病机制仍不清楚。超声及MRI是常用的诊断方法。CSE主要治疗手段为手术治疗,药物治疗尚有争议。

Cesarean section scar endometriosis(CSE)refers to secretory endometrial glands or stromal implant to the cesarean scar.The incidence of CSE is about 0.2%-0.45%,and the mechanism of pathogenesis is still unclear.Ultrasound and MRI are commonly used diagnostic methods.The only effective and safe treatment of CSE is the surgical removal of the endometrioma while medical therapy remains controversial.