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目的探讨腹壁子宫内膜异位症临床特征及防治。方法对我院2003年1月至2008年12月收治的40例腹壁子宫内膜异位症的临床资料进行回顾性分析。结果 40例平均年龄(27.3±2.3)岁;均有腹部手术史。有不同程度的经期切口瘢痕处胀痛,月经期增大,疼痛加重,月经后变小或消失;超声显示为腹壁瘢痕后方腹直肌前鞘内低回声包块,其边界不规则,无包膜,内部回声不均,病灶直径1.0~2.0 cm,平均1.7 cm。21例进行CA125检查均正常。全部行手术治疗,切口愈合良好。无复发。结论腹壁子宫内异症的发生与剖宫产术中直接种植有关;彻底的手术切除能治愈及减少复发;剖宫产术中正确操作可减少此病的发生。
Objective To investigate the clinical features and prevention and treatment of abdominal wall endometriosis. Methods The clinical data of 40 cases of abdominal wall endometriosis admitted to our hospital from January 2003 to December 2008 were analyzed retrospectively. Results The average age of 40 cases (27.3 ± 2.3) years of age; all have a history of abdominal surgery. There are varying degrees of menstrual incision scar pain, increased menstrual period, increased pain, reduced or disappeared after menstruation; ultrasound showed abdominal rectus abdominis muscle posterior intrathecal hypoechoic mass, the boundaries of the irregular, no package Membrane, the internal echo uneven, lesion diameter 1.0 ~ 2.0 cm, an average of 1.7 cm. 21 cases of CA125 were normal. Surgical treatment of all the incisions healed well. No recurrence. Conclusions The occurrence of endometriosis in abdominal wall is related to the direct planting in cesarean section. Thorough surgical resection can cure and reduce recurrence. Correct operation in cesarean section can reduce the occurrence of this disease.