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目的探讨腹壁切口子宫内膜异位症的临床特点、诊治方法及预防情况。方法回顾性分析2007年2月-2011年8月收治的295例经病理诊断确诊为腹壁切口子宫内膜异位症患者的临床资料。结果患者术前均有过腹部手术史,其中99%为剖宫产史。患者年龄为(31.6±4.5)岁。病灶大小为(2.66±1.12)cm,显著大于术前超声检查的平均大小(1.91±0.83)cm(P<0.05)。术后随访5个月~3年,无复发。结论结合病史、典型的临床症状和体征、超声等辅助检查,腹壁切口子宫内膜异位症的诊断并不困难。预防此病的发生很重要。手术治疗仍为腹壁切口子宫内膜异位症的最佳治疗方法。
Objective To investigate the clinical features, diagnosis and treatment of abdominal endometriosis and its prevention. Methods The clinical data of 295 patients diagnosed as abdominal wall incision endometriosis by pathology were retrospectively analyzed from February 2007 to August 2011. Results All patients underwent abdominal surgery before surgery, of which 99% were cesarean section. The patient’s age was (31.6 ± 4.5) years. The size of the lesion was (2.66 ± 1.12) cm, which was significantly larger than the mean size of preoperative ultrasonography (1.91 ± 0.83) cm (P <0.05). All patients were followed up for 5 months to 3 years without recurrence. Conclusion Combined with history, typical clinical symptoms and signs, ultrasound and other auxiliary examination, the diagnosis of abdominal incision endometriosis is not difficult. Prevention of the occurrence of the disease is very important. Surgical treatment is still the best treatment for abdominal incision endometriosis.