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目的探讨影响腹壁剖宫产切口子宫内膜异位症(AWE)发生及预后的相关因素。方法回顾性分析78例AWE临床资料。结果 AWE潜伏期与年龄、哺乳时间、月经复潮呈正相关,年龄与月经复潮解释了潜伏期变化的86.3%;切缘距病灶外1~2 cm的患者与切缘距病灶外0.5~1 cm者、术后行药物辅助治疗的患者与术后未行药物治疗者对复发率的影响差异呈显著性。结论延长哺乳时间、推迟月经复潮有助于延长AWE发病潜伏期;手术切除病灶是治疗AWE的有效方法 ,切缘大于病灶外1 cm、术后辅助药物治疗,可减少复发风险。
Objective To investigate the related factors that affect the occurrence and prognosis of abdominal wall incision endometriosis (AWE). Methods A retrospective analysis of 78 cases of AWE clinical data. Results There was a positive correlation between AWE latency and age, breastfeeding time and menstrual flow. The age and menstrual cycle tide explained 86.3% of the changes in latency. Patients with resection margins of 1-2 cm had a margin of 0.5-1 cm . The difference of the recurrence rate between patients who received adjuvant drug therapy and those who did not receive drug treatment after operation was significantly different. Conclusions Longer breastfeeding time and postpone menstruation rejuvenation can prolong the incubation period of AWE. Surgical removal of the lesion is an effective method for the treatment of AWE. The margin of cut is more than 1 cm outside the lesion. Adjuvant postoperative drug therapy can reduce the recurrence risk.