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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特点及临床治疗方法。方法对平顶山市妇幼保健院2006年1月至2011年10月收治的经手术和病理证实38例剖宫产术后腹壁切口子宫内膜异位症患者的临床资料进行回顾性分析。结果 38例患者经手术治疗,80.9%的内膜异位结节位于皮下,切除标本均经病理检查确诊为子宫内膜上皮腺体或腺体样结果。所有患者切口均为一期愈合,术后服药3个月后复查无复发。结论剖宫产术与腹壁切口子宫内膜异位症密切相关。
Objective To investigate the characteristics of abdominal incision endometriosis after cesarean section and its clinical treatment. Methods The clinical data of 38 patients with abdominal incision endometriosis after cesarean section confirmed by operation and pathology from January 2006 to October 2011 in Pingdingshan Maternal and Child Health Hospital were retrospectively analyzed. Results 38 patients were surgically treated, 80.9% of the endometriotic nodules were located subcutaneously, and all the resected specimens were diagnosed as endometrial glandular or glandular-like by pathological examination. All patients were incision healing, after 3 months of medication review no recurrence. Conclusion Cesarean section is closely related to abdominal incision endometriosis.