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目的分析剖腹产术后腹壁切口子宫内膜异位症的临床诊断和手术治疗方法。方法回顾性分析2000~2006年收治的18例剖腹产术后腹壁切口子宫内膜异位症临床资料。结果18例患者中12例病灶位于腹壁切口下方及两侧脂肪层,5例病灶累及筋膜及腹壁肌肉,1例病灶累及腹膜。结论手术是目前治疗腹壁子宫内膜异位病灶唯一有效的办法,将聚丙烯网片应用于手术中严重腹壁缺损的修复,提高了手术的根治率。
Objective To analyze the clinical diagnosis and surgical treatment of abdominal incision endometriosis after caesarean section. Methods The clinical data of 18 cases of abdominal incision endometriosis after cesarean section were retrospectively analyzed from 2000 to 2006. Results Of the 18 patients, 12 lesions were located below the incision of the abdominal wall and on both sides of the fat layer, 5 lesions involving the fascia and abdominal muscles, and 1 involved the peritoneum. Conclusion Surgery is the only effective method for the treatment of endometriotic lesions in abdominal wall. Polypropylene mesh is applied to the repair of severe abdominal wall defects during operation, which improves the cure rate of the operation.