论文部分内容阅读
目的研究腹壁切口发生子宫内膜异位症的特点、诊治方法及防治措施。方法随机选取子宫内膜异位症45例患者做回顾性分析。结果入选病例发病时间均在术后7个月~4年内,入选病例均成功切除病灶,术后切口Ⅰ期愈合出院。肿块位于横切口瘢痕两侧的皮下脂肪层者22例,位于横切口下方脂肪组织者4例,位于筋膜下腹壁肌层者7例,侵犯腹膜者3例,但尚未侵入腹腔。纵切口病例中,位于纵切口下段者6例,位于纵切口中段者3例。结论腹壁切口子宫内膜异位症与手术引起的医源性种植有关,应严格规范手术操作,注意腹壁切口保护,从而降低或杜绝腹壁切口子宫内膜异位症的发生率。
Objective To study the characteristics, diagnosis and treatment of endometriosis in abdominal incision and its prevention and treatment. Methods 45 patients with endometriosis were randomly selected for retrospective analysis. Results The onset time of the selected cases were all within 7 months to 4 years after operation. The lesions were successfully resected in the selected cases and the incisions were healed and discharged in the first stage. Tumors were located in 22 cases of subcutaneous fat on both sides of the transverse scar incision, 4 cases of adipose tissue below the transverse incision, 7 cases in the subcutaneous subcutaneous abdominal muscle, 3 cases of infringement of the peritoneum, but had not invaded the abdominal cavity. Longitudinal incision cases, located in the lower longitudinal incision in 6 cases, located in the middle of longitudinal incision in 3 cases. Conclusions Abdominal wall incision endometriosis is related to the iatrogenic implantation caused by surgery. Strict surgical operation should be strictly observed and the incision protection of abdominal wall should be paid attention to reduce or eliminate the incidence of endometriosis.