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目的探讨剖宫产术后腹壁切口子宫内膜异位症的发病机制,临床诊治及预防措施。方法对收治的继发于剖宫产术后的腹壁切口子宫内膜异位症患者32例的临床资料进行回顾性分析。结果本组患者32例,24例病灶位于皮下脂肪及腹直肌前鞘,6例病灶向下浸及腹直肌,2例病灶累及腹直肌后鞘及腹膜。所有患者均行局部病灶切除,切除范围达病灶外1～1.5cm正常组织,术后随访未见复发。结论严格掌握剖宫产指征,降低剖宫产率,提高剖宫产的手术质量,可预防腹壁切口子宫内膜异位症。
Objective To investigate the pathogenesis, clinical diagnosis and treatment of endometriosis after cesarean section incision. Methods The clinical data of 32 cases of patients with endometriosis secondary to cesarean section after cesarean section were retrospectively analyzed. Results The group of 32 patients, 24 lesions located in the subcutaneous fat and rectus sheath, 6 lesions dipped and rectus abdominis, 2 lesions involving the rectus abdominis and peritoneum. All patients underwent local lesion resection, excision range of 1 ~ 1.5cm outside the normal tissue lesions, no recurrence after surgery. Conclusion Strict control of indications of cesarean section, reduce the rate of cesarean section and improve the quality of operation of cesarean section, abdominal wall incision can prevent endometriosis.