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目的探讨剖宫产术后腹壁切口子宫内膜异位症的超声诊断。方法回顾性分析洪湖市中医院2007年6月至2012年6月收治的24例经超声检查结果证实为剖宫产术后腹壁切口子宫内膜异位症患者。结果剖宫产术后腹壁切口内膜异位症是剖宫产术的远期并发症,它表现为腹壁瘢痕处软组织层内出现低回声肿块,大部分与月经周期有关,经前及经期肿块增大,经后肿块缩小。结论彩色多普勒超声是剖宫产术后腹壁切口子宫内膜异位症的首选检查手段,具有方便、无痛苦、可重复性强的优点,是目前诊断内膜异位症的最佳检查方法,能为临床诊断提供非常有价值的影像学依据。
Objective To investigate the ultrasonic diagnosis of abdominal incision endometriosis after cesarean section. Methods Retrospective analysis of Honghu City Hospital of Traditional Chinese Medicine from June 2007 to June 2012 admitted 24 cases of ultrasound confirmed after cesarean section abdominal incision in patients with endometriosis. Results Abdominal wall incision endometriosis after cesarean section is a long-term complication of cesarean section, it shows hypoechoic mass in the soft tissue layer of abdominal scar, most of which are related to menstrual cycle, Increase, after the mass reduction. Conclusions Color Doppler echocardiography is the first choice of abdominal incision endometriosis after cesarean section, which has the advantages of convenience, painlessness and repeatability and is the best examination for endometriosis Method, can provide a very valuable imaging basis for clinical diagnosis.