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目的:探讨腹壁、会阴子宫内膜异位症的诊断和治疗。方法:对1993～2008年收治的43例腹壁、会阴内异症病例进行回顾性分析。结果:根据临床表现和病理检查,43例均诊断正确。29例腹壁切口内异症均有剖宫产史,14例会阴内异症均有会阴撕裂或侧切史。腹壁内异症完整切除29例,会阴内异症完整切除13例,随访2～5年无复发。结论:根据典型的病史和体检,可以对腹壁、会阴内异症做出正确诊断;手术切除为主要治疗方法。
Objective: To investigate the diagnosis and treatment of abdominal wall and perineal endometriosis. Methods: 43 cases of abdominal wall and perineal endometriosis admitted from 1993 to 2008 were retrospectively analyzed. Results: According to clinical manifestations and pathological examination, 43 cases were diagnosed correctly. 29 cases of intra-abdominal incision endometriosis have cesarean section history, 14 cases of perineal endometriosis have episiotomy or lateral history. Endometriosis complete resection in 29 cases, complete removal of perineal endometriosis in 13 cases, followed up for 2 to 5 years without recurrence. Conclusion: According to the typical medical history and physical examination, the correct diagnosis of abdominal wall and perineal endometriosis can be made. Surgical resection is the main treatment.