摘要
目的：分析剖宫产腹壁切口子宫内膜异位症的诊断、治疗和临床特点,探讨有效的治疗和预防方法。方法：回顾分析2007年1月至2014年10月北京大学人民医院收治的94例剖宫产腹壁切口子宫内膜异位症的临床资料。结果：94例剖宫产腹壁切口子宫内膜异位症发生时间为剖宫产术后1月至13年,病灶大小（2.87＆#177;0.13）cm,位于皮下69例、肌层16例,侵犯腹膜 9例。年龄〈35岁与≥35岁患者相比,潜伏期更短（P〈0.05）；哺乳期〈6个月与≥6个月的患者相比,潜伏期更短（P〈0.05）。手术切除病灶后,18例采用药物治疗 3 ～ 6个月（促性腺激素释放激素激动剂 GnRHa）,76例未接受药物治疗,局部均无复发。结论：近年剖宫产切口子宫内膜异位症的发生增多,年龄和哺乳期与发病潜伏期相关,手术是最有效的治疗选择,剖宫产术中应积极预防。
Objective：To analyze the clinical characteristics,diagnosis and treatment of abdominal wall endometriosis secondary to cesarean section incision and to explore effective methods of treatment and prevention techniques of such disease. Methods：Retrospectively ana-lyze the clinical data of 94 cases of cesarean section incision endometriosis from Jan. 2007 to Oct. 2014 treated in People＆#39;s Hospital Peking University. Results：Cesarean section（CS） inci-sion endometriosis occurred 1 month to 13 years after the surgery,lesion size was about （2. 87± 0. 13）cm. 69 cases were located in subcutaneous,16 cases were located in muscle layer,while 9 cases infringed to peritoneum. The latent period between CS and CS incision endometriosis in patients aged 〈35 years was shorter than those aged ≥35 years （P〈0. 05）. While patients with breast-feeding time 〈6 months had shorter latent period than those with breast-feeding time ≥6 months （P〈0. 05）. Only 18 patients received medication therapy （ GnRHa） after operation, while none of the 94 patients had recurrence. Conclusions：CS incision endometriosis increases in recent years. Age and breast-feeding time is related to the latent period between CS and CS incision endometriosis. Surgery is the most effective treatment option. Effective preventive meas-ures in cesarean section are suggested.
出处
《现代妇产科进展》
CSCD
北大核心
2015年第8期586-589,共4页
Progress in Obstetrics and Gynecology
关键词
剖宫产
腹壁子宫内膜异位症
腹壁切口
Cesarean section
Abdominal wall endometriosis
Abdominal incision
