摘要
目的:探讨腹壁子宫内膜异位症(abdominal wall endometriosis,AWE)临床特点、诊疗过程及预防方法。方法:回顾性分析我院2012年1月至2017年1月收治的91例剖宫产术后AWE患者的临床资料。结果:91例AWE患者中1次剖宫产手术史78例(85.7%),2次剖宫产手术史13例(14.3%);因腹部瘢痕处疼痛就诊82例(90.1%),9例(9.9%)患者无明显临床症状因扪及腹部瘢痕处包块就诊。91例患者中有78例(85.7%)行手术治疗,13例(14.3%)经高强度聚焦超声(high intensity focused ultrasound,HIFU)治疗;术后随访3～17个月,手术治疗后复发4例(5.1%),HIFU治疗后未见复发。结论:AWE作为医源性疾病,积极降低剖宫产率是根本的预防措施,目前治疗上首选手术切除病灶,另外近年来超声消融技术为AWE非手术治疗提供了一种新治疗方式,但其远期并发症尚待进一步观察研究。
Objective： To explore the clinical features, diagnosis and treatment of abdominal wall endometriosis （AWE）. Method： The clinical data of 91 patients with AWE after cesarean section in our hospital from Jan 2012 to Jan 2017 were retrospectively analyzed. Results： Of the 91 patients with AWE, 78 cases （85.7%） underwent 1 caesarean section and 13 cases （14.3%） underwent 2 caesarean sections. 82 cases （90.1%） had pain in the abdominal scar, and 9 cases （9.9%） had no obvious clinical symptoms, but had abdominal scar mass. Of the 91 patients, 78 cases （85.7%） underwent surgery, and 13 cases （14.3%） were treated with high-intensity focused ultrasound （HIFU）. The patients were followed up for 3 to 17 months, 4 patients relapsed after surgery, and no recurrence after HIFU treatment. Conclusions： AWE is an iatrogenic disease, and reducing cesarean section rate is essential preventive measures. Surgically resected lesions are the first choice for treatment of AWE. In addition, ultrasound ablation technology has provided a new treatment for AWE in recent years, but its long-term complications remain to be further studied.
作者
赵翠翠
张轶清
ZHAO Cuicui;ZHANG Yiqing(Department of Gynaecology and Obstetrics,Yijishan Hospital,Wannan Medical College,Wuhu 241001,China)
出处
《沈阳医学院学报》
2018年第5期416-418,共3页
Journal of Shenyang Medical College
关键词
腹壁子宫内膜异位症
剖宫产术
高强度聚焦超声
abdominal wall endometriosis
cesarean section
high-intensity focused ultrasound
