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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诊断及治疗方法。方法分析剖宫产术后腹壁切口子宫内膜异位症36例患者的临床资料。结果切口瘢痕处出现肿块,并伴有与月经周期关系密切的疼痛者共28例,占77.78%;所有患者均通过手术治疗,术中完整切除病灶,同时切除病灶外缘1~1.5 cm正常组织。结论切口瘢痕处出现肿块,并伴有与月经周期关系密切的疼痛,可以作为腹壁切口子宫内膜异位症的一项重要诊断标准,治疗方法首选手术治疗。
Objective To investigate the diagnosis and treatment of endometriosis after abdominal incision cesarean section. Methods The clinical data of 36 cases of endometriosis after abdominal incision cesarean section were analyzed. Results There were 28 cases (77.78%) of the incision scar with pain associated with the menstrual cycle. All the patients were surgically treated with complete resection of the lesion and 1 ~ 1.5 cm of normal tissue at the periphery of the lesion . Conclusion There are lumps in the incision scar with pain associated with the menstrual cycle, which can be used as an important diagnostic criterion for incision endometriosis. The surgical treatment is the first choice of treatment.