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目的探讨剖宫产后腹壁切口子宫内膜异位症(AWE)的诊断、治疗及预防。方法对收治的15例剖宫产后腹壁子宫内膜异位症患者进行回顾性分析。结果 15例患者经术后病理证实均为剖宫产切口子宫内膜异位症。其中单发病灶12例(80.0%),2个病灶2例(13.3%),多发病灶1例(6.7%),所有病例均采用手术治疗,其中1例病灶多发,累及腹直肌,术后给米非司酮口服,所有病例腹壁切口甲级愈合,术后随访2年无复发。结论根据典型的症状、体征可对剖宫产后腹壁内膜异位症做出正确诊断,一经确诊立即手术,手术切除为主要治疗方法。
Objective To investigate the diagnosis, treatment and prevention of abdominal incision endometriosis (CAE) after cesarean section. Methods 15 cases of post-cesarean section abdominal wall endometriosis were retrospectively analyzed. Results All 15 patients were confirmed by pathology after cesarean section incision endometriosis. Among them, there were 12 cases (80.0%) with single lesion, 2 cases (13.3%) with 2 lesions and 1 case with multiple lesions (6.7%). All the cases were treated by surgery. Oral mifepristone, all cases of abdominal wall incision grade healed, no recurrence after 2 years of follow-up. Conclusion According to the typical symptoms and signs of cesarean section of abdominal wall endometriosis can make a correct diagnosis, once diagnosed immediately after surgery, surgical resection as the main treatment.