腹壁子宫内膜异位症53例临床分析被引量：2

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摘要目的:探讨腹壁子宫内膜异位症的临床特点、治疗和预防。方法:回顾性分析53例腹壁子宫内膜异位症的临床资料。结果:患者平均年龄(33.35±4.32)岁。剖宫产51例,宫外孕1例,子宫肌瘤切除1例。98%表现为腹壁包块,86.55%表现为疼痛。病灶平均直径(3.56±0.58)cm,单个病灶占71.69%(38例),2个病灶以上占28.31%(15例);病灶累及部位依次为:皮下脂肪层47.16%(25例),腹直肌前鞘52.83%(28例),肌层79.24%(42例),腹膜9.43%(5例),与子宫形成瘘道1.88%(1例)。所有病例均行局部包块切除,合并其他手术3例。手术时间(35.46±15.35)min,术中出血(37.56±18.43)ml,切口均一期愈合。15例术前药物治疗。53例中术后复发5例,复发率9.43%。结论:腹壁子宫内膜异位症具有典型的临床表现,手术是有效的治疗方法。应防止医源性腹壁子宫内膜异位症。

作者范玉兰

机构地区重庆市渝北区人民医院

出处《中国妇幼保健》 CAS 北大核心 2012年第16期2444-2446,共3页 Maternal and Child Health Care of China

关键词子宫内膜异位症腹壁腹部手术

分类号 R711.71 [医药卫生—妇产科学]

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参考文献16

1Blanco RG, Parithid VS, Shah AK et al. Abdominal wall endometriomas [J]. American Journal of Surgery, 2003, 185 (6) : 596.
2Horton JD, Dezee KJ, Ahnfeldt EP et al. Abdominal wall endometriosis: a surgeon -s perspective and review of 445 cases [J]. Am J Surg, 2008, 196:207.
3Chang Y, Tsai EM, Long CY et al. Abdominal wall endometriomas [J].J Repord Med, 2009, 54:155.
4Dwivedi A J, Agrawal SN, Silva YJ. Abdominal wall endometriomas [J] . Dig Dis Sci, 2002, 47 (2): 456.
5Pattersom GK, Winburn GB. Abdominal wall endometriomas: report of eight cases [J]. Am J Surg, 1999, 65 (1): 36.
6赵学英,郎景和,冷金花,刘珠凤,李华军,孙大为,朱兰.腹壁子宫内膜异位症的临床特点及复发相关因素分析[J].中华妇产科杂志,2004,39(2):97-100. 被引量：274
7Nomianto NS, Prates LF, Lauar Iet al. Caesarean section greatly increases risk of scar endometriosis [J]. Eur J Obstet Gynecol Reprod Biol, 2010, 152 (1): 83.
8黄汉辉,杨丹.腹壁子宫内膜异位症研究进展[J].复旦学报（医学版）,2010,37(1):116-118. 被引量：60
9Higgins JP, Thompson SG, Deeks JJ et al. Measuring inconsistency in meta- analyses [J]. BMJ, 2003, 327:557.
10孙智晶,朱兰,郎景和,刘珠凤,冷金花,孙大为.腹股沟子宫内膜异位症六例临床分析[J].中华妇产科杂志,2006,41(10):714-714. 被引量：8

二级参考文献77

1宋春蕾,任秀冬.局部注射孕激素治疗腹壁切口子宫内膜异位症[J].实用医学杂志,2004,20(10):1180-1180. 被引量：18
2郎景和.子宫内膜异位症研究的新里程[J].中华妇产科杂志,2005,40(1):3-4. 被引量：282
3王友芳.甾体激素治疗子宫内膜异位症病理观察及临床疗效的探讨[J].中华妇产科杂志,1983,18:71-71.
4Blanco RG, Parithivel VS, Shah AK, et al. Abdominal wall endometriomas. American Journal of Surgery, 2003, 185(6):596-598.
5Dwivedi A J, Agrawal SN, Silva YJ. Abdominal wall endometriomas. Digestive Diseases Sciences, 2002,47 (2):456- 461.
6Balleygnier C, Chapron C, Chopin N , et al. Abdominal wall and surgical scar endometriosis: result of magnetic resonance imaging. Gynecol Obstet Invest,2003,55(4):220.
7Alexiadis G, Lambropoulou M, Deftereos S, et al. Abdominal wall endometriosis - ultrasound research: a diagnostic problem. Clin Exp Obstet Gynecol, 2001;28(3):121-122.
8Matthes G, Zabel DD, Nastala CL, et al. Endometrioma of the abdominal wall following combined abdominoplasty and hysterectomy: case report and review of the literature. Ann Plast Surg, 1998;40(6) :672-675.
9Wolf GC, Singh KB. Cesarean scar endometriosis: a review [J]. Obstet Gynecol Surv, 1989,44 : 89 - 95.
10Higgins JP, Thompson SC-, Deeks J J, et al. Measuring inconsistency in meta-analyses[J]. BMJ ,2003,327 : 557 - 560.