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40例妇产科手术切口子宫内膜异位症临床分析 被引量:25

The clinical analysis of obstetrics and gynecology operation incision endometriosis
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摘要 目的探讨妇产科手术切口子宫内膜异位症的发病原因、治疗方法及防治措施。方法随机选取2010~2012年间我院收治的20例妇产科手术切口子宫内膜异位症患者的临床完整资料为探究依据。患者均采用一次性病灶清除术及术后对症用药治疗,另选取同期以药物治疗手术切口子宫内膜异位症20例患者为参照对象,比较两组患者的临床疗效。结果观察组患者均经术后病理切片检查确诊为手术切口子宫内膜异位症,20例患者经病灶切除术治疗后伤口均I期愈合,临床症状全部消失.均痊愈出院。术后1年随访无一例患者复发或恶变,治疗效果显著。对照组患者完全痊愈9例,临床症状可见好转7例,无效4例,术后1年随访结果发现3例患者复发。结论针对妇产科手术切口子宫内膜异位症的患者治疗方案时,应结合患者的病史,术前进行彻底的检查,手术不失为最佳治疗方式,治疗效果稳定有保障。 Objective To study the etiology, treatment and prevention measures of obstetrics and gynecology operation incision endometriosis. Methods A total of 40 cases with gynecology operation incision endometriosis were retrospec- tively analyzed. 20 patients were treated with disposable debridement surgery and symptomatic treatment after opera- tion. Another 20 patients were treated with drugs. The effect of the two groups would be compared. Results After histopathologic confirmation, the patients in observation group were diagnosed with endometriosis, postoperative inci- sions were stage healing, the clinical symptoms of the patients disappeared, and 20 cases were cured and dis- charged. All patients followed up were all cured without recurrence or malignant lesions. 9 cases of the control group were recovered completely, 7 patients were improved and 4 cases were invalid. All patients were followed up for 1 year, 3 cases recurred again. Conclusion The best treatment of obstetrics and gynecology operation incision endometriosis is operation. Before the operation, doctors should read the patient medical history, and all the patients should do the rou- tine examination and auxiliary examination.
作者 王礼华
出处 《中国现代医生》 2014年第1期126-129,共4页 China Modern Doctor
关键词 子宫内膜异位症 妇产科 手术 Endometriosis Obstetrics and gynecology Surgery
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