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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及治疗方法。方法:回顾性分析10例剖宫产术后腹壁切口子宫内膜异位症患者的临床资料。结果:10例患者均行腹壁病灶切除术,治疗后皆治愈出院,术后随访1~2年无复发。结论:剖宫产术后腹壁切口子宫内膜异位症为医源性子宫内膜种植,结合病史、临床表现、体征及超声检查可确诊。腹壁病灶切除术是其主要治疗方法。剖宫产术中要严格操作,注意保护腹壁切口,避免子宫内膜种植。
Objective: To investigate the clinical diagnosis and treatment of abdominal incision endometriosis after cesarean section. Methods: A retrospective analysis of 10 cases of cesarean section after abdominal incision in patients with endometriosis clinical data. Results: All the 10 patients undergone abdominal resection of the lesion. All patients were cured and discharged after treatment. No recurrence was observed in 1 to 2 years after operation. Conclusion: Abdominal wall incision endometriosis after cesarean section is iatrogenic endometrial implantation. Combined with history, clinical manifestations, signs and ultrasound examination can be diagnosed. Abdominal wall resection is the main treatment. Cesarean section to strict operation, pay attention to protect the abdominal incision, to avoid endometrial implantation.