论文部分内容阅读
目的探讨腹壁切口子宫内膜异位症的临床特点和治疗方法。方法对我院2000年1月至2010年1月收治的15例腹壁切口子宫内膜异位症患者的临床资料进行分析。结果 15例子宫内膜异位症患者均采用手术治疗,术后病理回报符合子宫内膜异位症。11例为单发内膜异位结节,4例多发内膜异位结节。12例病灶位于手术切口两顶端,3例病灶位于手术切口中段。4例多发内膜异位结节和1例行腹壁补片加固患者术后口服孕三烯酮3～6个月。15例患者术后随访至今未见复发者。结论具有典型临床症状、体征的患者术前诊断并不困难。症状不典型的病例,可借助腹壁彩超鉴别诊断,术后的病理诊断是确诊的金标准。腹壁切口子宫内膜异位症有效治疗手段为手术切除,一旦确诊,应及早手术治疗。
Objective To investigate the clinical features and treatment of abdominal incision endometriosis. Methods The clinical data of 15 patients with endometriosis undergoing abdominal wall incision in our hospital from January 2000 to January 2010 were analyzed. Results 15 cases of endometriosis patients were treated by surgery, postoperative pathological findings consistent with endometriosis. 11 cases of single ectopic nodules, 4 cases of multiple endometriotic nodules. Twelve lesions were located at the top of the surgical incision and three lesions were located in the middle of the surgical incision. 4 cases of multiple endometriosis nodules and 1 case of abdominal wall reinforcement patients after oral administration of gestrinone 3 to 6 months. Fifteen patients were followed up until no recurrence. Conclusions Patients with typical clinical symptoms and signs are not difficult to diagnose before operation. Atypical cases of symptoms can be diagnosed by abdominal ultrasonography diagnosis, postoperative pathological diagnosis is the gold standard confirmed. Abdominal wall incision effective means of endometriosis for surgical resection, once diagnosed, surgical treatment should be as soon as possible.