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目的:探讨腹壁切口疤痕子宫内膜异位症(简称内异症:endometrosis,EMT)的超声诊断方法。方法:应用B型超声对38例腹壁切口疤痕子宫内膜异位症进行检测,观察疤痕(肿块)的持续时间、位置、形态及大小。结果:肿块持续时间术后1年内1例(2.63%)、3年24例(63.16%)、5年9例(23.68%)、6年以上4例(10.53%);B超显示肿块位于皮下脂肪层内11例(28.95%),肌层内23例(60.53%),肌层与壁层腹膜之间4例(10.53%)。结论:超声诊断腹壁切口疤痕子宫内膜异位具有迅速、可靠、操作简便、无创伤等优点。
Objective: To investigate the ultrasonic diagnosis of endometriosis (EMT) in patients with abdominal scar incision. Methods: 38 cases of abdominal incision scar endometriosis were examined by B ultrasound and the duration, location, shape and size of the scar were observed. Results: The duration of the tumor was 1 case (2.63%) within 1 year after operation, 24 cases (63.16%) in 3 years, 9 cases (23.68%) in 5 years and 4 cases (10.53%) over 6 years. There were 11 cases (28.95%) in the fat layer, 23 cases (60.53%) in the muscular layer and 4 cases (10.53%) in the muscular layer and parietal peritoneum. Conclusion: Ultrasound diagnosis of abdominal incision scar endometriosis with rapid, reliable, easy to operate, non-invasive and so on.