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目的:探讨剖宫产术后腹壁切口子宫内膜异位症的临床诊断和治疗及预防。方法:对66例剖宫产术后的腹壁切口子宫内膜畀位症患者的临床资料进行回顾性分析,治疗组采用手术治疗,对照组采用药物治疗。结果:治疗组痊愈率和临床症状均优于对照组,差异有统计学意义,复发率比较差异无统计学意义,两组癌抗原125(CA125)和糖链抗原199(CA199)水平均较治疗前明显下降,对照组下降更为明显。结论:手术治疗效果较好,同时严格掌握剖宫产的指征,降低剖宫产率,提高剖宫产手术的质量,可预防腹壁切口子宫内膜异位症的发生。
Objective: To investigate the clinical diagnosis, treatment and prevention of abdominal incision endometriosis after cesarean section. Methods: The clinical data of 66 cases of cesarean section after cesarean section were analyzed retrospectively. The treatment group was operated on and the control group was treated by medication. Results: The cure rate and clinical symptoms of the treatment group were better than those of the control group, the difference was statistically significant, the recurrence rate was no significant difference between the two groups of cancer antigen 125 (CA125) and carbohydrate antigen 199 (CA199) levels were higher than the treatment Before significantly decreased, the control group decreased more significantly. Conclusion: Surgical treatment is better, and strict indications of cesarean section, reduce the rate of cesarean section and improve the quality of cesarean section surgery, can prevent the occurrence of abdominal wall incision endometriosis.