摘要
目的探讨腹壁切口子宫内膜异位症的诊治方法。方法对我院2000~2009年收治的37例腹壁切口子宫内膜异位症患者的临床资料进行回顾性分析。结果根据临床表现和病理检查,37例均诊断正确。患者均为剖宫产术后,所有病例均行完整的病灶切除术,9例重症患者給予3周期孕激素预防性治疗。术后随访1~5年,37例患者症状完全消失;11例患者腹壁局部有不明显团块,但没有相应临床症状。结论腹壁切口子宫内膜异位症根据病史、典型的临床表现及查体可明确诊断。预防该病的发生极为重要,彻底切除病灶是首选的治疗方法。
Objective To explore the diagnosis and treatment of abdominal wal endometriosis.Methods 37 patients with abdominal wall endometriosis treated in the hospital from 2000 to 2009 were analyzed retrospectively.Results 37 cases were diagnosed correctly according to clinical manifestations and pathological evidences.Al cases had history of cesarean section.Al cases with abdominal wal endometriosis were excised total y and 9 serious cases were given progesterone for 3 months to prevent recurrence.All the cases were followed up for 1~5 years and their symptoms were disappeared thoroughly.11 cases had unobvious abdominal wal mass without any clinical symptom.Conclusion The patients with abdominal wal endometriosis can be diagnosed correctly according to typical medical history and physical examination.The prevention for this disease is quite important.Thoroughly surgical excision is the first choice for treatment.
作者
常星
王薇
CHANG Xing;WANG Wei(Department of Gynaecology and Obstetrics,The first people's Hospital of Liangshan Prefecture,Xichang 615000,Sichuan,China)
