摘要
目的探讨腹壁子宫内膜异位症的发病机制、诊断及治疗方法、预防措施。方法对17例腹壁切口子宫内膜异位症患者的资料进行回顾性分析。结果17例患者中14例（82％）有1次剖宫产手术史，2例（12％）有2次剖宫产手术史，1例（6％）有卵巢子宫内膜异位囊肿剥除手术史，经手术切除病灶，术后病检均证实为腹壁切口子宫内膜异位症，术后口服孕三烯酮巩固治疗3个月，随访6个月至4年，除1例失访外，另16例无一例复发。结论腹壁子宫内膜异位症是可预防的，手术治疗及术后口服孕三烯酮巩固治疗腹壁子宫内膜异位症是切实有效的。
Objective To explore the pathogenesis,diagnosis,treatment,and preventive measures of abdominal wall endometriosis. Methods The data of＇17 cases of patient who had abdominal incision uterus endometriosis were retrospectively analyzed. Results 14 cases of 17 patients（82% ）had the history of once cesarean surgery,2 cases（12%） had the history of two cesarean surgeries,while 1 case（6% ） had the history of ovarian endometriosis cystectomy surgery. After surgical resection of the lesions, all of these patients were pathologically confirmed as the abdominal wall incision uterine endometriosis. With postoperative 3-month consolidating treatment of orally taking gestrinone,followed up for 6 months to 4 years, 1 patient was lost, while the other 16 patients did not recur. Conclusion Abdominal wall endometriosis is preventable. Surgical treatment and postoperative consolidating treatment of orally taking gestrinone are effective for curing abdominal wall endometriosis.
出处
《中国基层医药》
CAS
2013年第5期655-657,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
子宫内膜异位症
诊断
治疗
预防
Endometriosis
Diagnosis
Treatment
Prevention
