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目的研究剖宫产术后患者出现腹壁切口子宫内膜异位症的临床治疗方法,以便为以后的工作提供有力的依据。方法深圳市南山区西丽人民医院选择2009年9月—2012年9月间进行剖宫产后出现腹壁切口子宫内膜异位的90例患者,将其随机分为两组。对照组的44例患者运用药物进行治疗,观察组的46例患者在运用药物治疗的基础上进行手术治疗,对所选患者进行1年的随访,观察两组患者的复发情况。结果经过对本研究所选的90例患者进行1年的随访,其中有12例患者未完成随访,观察组中有40例得到随访,2例出现复发,而对照组中有38例得到了随访,其中20例复发。观察组患者复发率为5.0%,对照组患者复发率为52.6%,两组数值差异显著,有统计学意义(P<0.05)。结论剖宫产后腹壁切口出现子宫内膜异位症最有效的方法为手术治疗,同时进行药物辅助治疗临床效果更为理想。
Objective To study the clinical treatment of abdominal incision endometriosis after cesarean section in order to provide a strong basis for future work. Methods Ninety patients with abdominal wall incision endometriosis after cesarean section were selected from September 2009 to September 2012 in Xili People’s Hospital of Nanshan District, Shenzhen. They were randomly divided into two groups. Forty-four patients in the control group were treated with drugs. 46 patients in the observation group underwent surgery on the basis of drug treatment. The patients were followed up for one year and the recurrence of the two groups was observed. RESULTS: Ninety patients selected for this study were followed up for 1 year, of whom 12 were not followed, 40 were followed up in the observation group, 2 were relapsed, and 38 in the control group were followed up, 20 cases of recurrence. The recurrence rate was 5.0% in the observation group and 52.6% in the control group, with significant difference between the two groups (P <0.05). Conclusion The most effective method of endometriosis after abdominal incision of cesarean section is surgical treatment, and the clinical effect of drug-assisted therapy is more ideal.