论文部分内容阅读
目的探讨剖宫产术后切口继发腹壁子宫内膜异位症的临床特点、治疗方法及相关因素分析。方法回顾性分析观察组67例剖宫产术后腹壁子宫内膜异位症患者的临床资料,包括一般情况、发病时间、临床表现、诊断治疗方法及随访等方面情况。另随机选取结果剖宫产术后随访3年未发生并发症的产妇50例作为对照组,对比两组产妇在孕次、产次、产妇体重、初潮年龄、月经周期、经期方面的情况。结果发生切口子宫内膜异位症距剖宫产的时间为(27.46±20.63)个月,91.04%(61/67)的患者在腹壁切口处有和月经周期相关的疼痛,并有逐渐增大的包块,多经B超及手术病理确诊。术前、术后用药患者分别为35.82%和25.37%,均经手术治疗,随访3年均无复发。观察组平均孕次多于对照组,平均月经周期短于对照组,差异有统计学意义(P<0.05)。结论剖宫产术后腹壁子宫内膜异位症临床表现典型,手术治疗有效且预后良好。月经周期短是发病的危险因素,妊娠具有保护性作用。
Objective To investigate the clinical features, treatment and related factors of secondary abdominal wall endometriosis after cesarean section incision. Methods The clinical data of 67 patients with abdominal wall endometriosis after cesarean section in the observation group were retrospectively analyzed, including general conditions, onset time, clinical manifestations, diagnosis and treatment methods and follow-up. In addition, 50 cases of maternal women who had no complication after cesarean section were selected randomly as control group. The maternal time of pregnancy, parity, maternal weight, menarche age, menstrual cycle and menstrual period were compared. Results The duration of incision endometriosis was (27.46 ± 20.63) months. The patients with 91.04% (61/67) had pain related to the menstrual cycle at the incision of the abdominal wall and were gradually increased Of the mass, by B ultrasound and pathology confirmed. Preoperative and postoperative patients were 35.82% and 25.37%, respectively, were surgically treated, were followed up for 3 years without recurrence. The average gestational age of the observation group was more than that of the control group, and the average menstrual cycle was shorter than that of the control group (P <0.05). Conclusion The clinical manifestations of abdominal wall endometriosis after cesarean section are typical, the surgical treatment is effective and the prognosis is good. Short menstrual cycle is a risk factor for the disease, pregnancy has a protective effect.