摘要
目的探讨腹壁子宫内膜异位症(abdominal wall endometriosis,AWE)的临床特点,治疗方法以及预后。方法对我院2005年1月～2009年4月收治的19例AWE患者的临床资料进行回顾性分析。结果本研究中19例AWE均继发于剖宫产术后,11例(57.9%)患者主诉为逐渐增大的腹壁肿块,伴经期疼痛。19例患者都进行局部手术切除,术后予米非司酮或Gn-RHa治疗6个月。1例复发,再次手术切除病灶。结论典型的AWE通常不难诊断。术前B超或MRI有助于确定病灶范围,明确解剖关系。手术切除是唯一的有效治疗手段,完整的切除病灶是防止复发的关键。术后药物辅助治疗可能有助于减少复发。
Objective To investigate the clinical characteristics, treatment, and factors of recurrence of abdominal wall endometrioms（AWE）. Methods 19 cases of AWE diagnosed at Shaoxing People＇ s Hospital from January 2005 to April 2009 were reviewed retro- spectively. Results All patients had a history of cesarean section. Eleven patients （57.9%） had the typical complaint of an enlarging mass and pain during menstruation. All patients received surgical excision and postoperative adjuvant therapy of gonadotropin releasing hormone agonist （GnRHa） or Mifepristone treatment for 6 months. The diagnosis was confirmed by histological examination in all patients. At follow - up, ranging from 1 month to 3 years, there was 1 case of recurrence of endometrioms during a follow - up of 2 years. Conclusion AWE could be diagnosed easily by its typical clinical manifestations preoperatively. Sonography or MRI may be helpful in identifying the exact anatomical location of the lesion and in excluding other surgical conditions, however it lacks specificness. Surgical excision is the only effective treatment, and complete and wide local excision is the key point to prevent recurrence. Combination surgical excision with postoperative adjuvant therapy might reduce the recurrence, although its effectiveness need being testified in the future.
出处
《医学研究杂志》
2009年第12期80-82,共3页
Journal of Medical Research
关键词
子宫内膜异位症
腹壁
治疗
Endometriosis
Abdominal wall
Treatment
