子宫内膜异位症虽为良性病变,但具有远处转移和种植能力,当今发病率呈上升趋势,也是威胁妇女健康不可轻视的病症之一。现将我院近年来收治的腹壁切口子宫内膜异位症3例报道如下。 例1.28岁,孕1产1,于1982年1月因孕7~+月前置胎盘出血性休克行古典式剖宫产,娩一女死婴,切口Ⅰ期愈合,产后二月转颈时,发现腹壁切口瘢痕处有一黄豆大小的硬结,感胀痛,经期疼痛明显,经后消失,其后包块渐增大伴经期疼痛加重。局部检查腹壁切口有1.8cm×2cm×1.5cm大小的实性块物,质硬,触痛明显,入院后择期行腹壁切口结节切除术,切除结节病理诊断:腹壁切口子宫内膜异位症。 例2 26岁,孕1产1,因足月足位行子宫下段剖宫产娩一活男婴,切口愈合好,术后4月发现切口有一小硬结,未予重视,8个月后硬结增大、经期疼痛明显,但经后疼痛减轻,硬结缩小,一年后经期疼痛呈进行性加重,经用消炎药、孕激素治疗二月仍无效,入院检查,腹壁切口处有一2.1cm×1.5cm×1.5cm大小结节,质 Although endometriosis is a benign disease, but with distant metastasis and ability to grow, the incidence is on the rise, but also one of the diseases that threaten the health of women. Now in our hospital in recent years, abdominal wall incision endometriosis reported in 3 cases are as follows. Cases of 1.28 years old, 1 pregnant and 1, in January 1982 due to pregnancy 7 ~ + months ago placental hemorrhage shock classical cesarean section, delivery of a female infant infant, incision healed, post-natal February neck , Found abdominal incision scar size of a sclerosis, a sense of flu pain, menstrual pain significantly, after disappear, then the mass gradually increased with menstrual pain aggravated. Local examination of abdominal wall incision with 1.8cm × 2cm × 1.5cm size of the solid block, hard, tenderness significantly, after admission elective abdominal incision nodules resection, removal of nodules pathological diagnosis: abdominal incision endometriosis disease. Example 2 26-year-old pregnant 1 produce 1, due to full-term foot uterine segment of the cesarean section to give birth to a live baby boy, the incision healed well, found in April after a small incision incision, no attention, 8 months after induration Increase, menstrual pain was obvious, but after the pain relief, induration shrinkage, one year after menstrual pain was aggravated by anti-inflammatory drugs, progesterone treatment February is still invalid, admission examination, abdominal incision at a 2.1cm × 1.5 cm × 1.5cm size nodules, quality