腹壁子宫内膜异位症23例临床分析  

Clinically analysis of 23 patients with abdominal wall endometriosis

作　　者：谢增霞[1] 谢梅青[1] 金星[1] 

机构地区：[1]中山大学附属第二医院妇产科,广东广州510120

出　　处：《国际医药卫生导报》2008年第16期41-44,共4页International Medicine and Health Guidance News

摘　　要：目的探讨腹壁子宫内膜异位症的临床特点及诊治预后。方法分析1987年1月～2008年3月入住我院的腹壁子宫内膜异位患者的临床特点及随访资料。结果23例患者平均34．5岁，22例有剖宫产史，1例有腹腔镜下子宫全切术史；18例病灶位于皮下脂肪层，1例病灶位于肌层，3例病灶位于筋膜下至腹膜外脂肪，1例从皮下脂肪层深达腹膜并同膀胱粘连；23例患者均表现与月经相关的局部疼痛、包块、或皮下出血；全部患者均均行手术切除病灶，术后无复发。结论腹壁子宫内膜异位症好发于有剖宫手术史的育龄女性，病灶多位于皮下脂肪层内；表现与月经相关的症状及体征，局部病灶切除是治疗的主要方法。Objective To analyse the clinical feature of endometriosis of abdominal wall. Methods From January 1987 to March 2008, 23 patients suffered from endometriosis of abdominal wall received treatment in our hospital. Clinical data were analyzed retrospectively. Results The average age was 34.5 years old. 22 patients had history of cesarean section, l patient experienced laparoscopic histerotomy;18 cases had foci in subcutaneous fat, l cases in muscle, 3 cases between subcutaneous fascia and sub peritoneal fat, l cases envisioning peritoneum and bladder;22 patients had syndromes such as pain, mass of abdominal wall .subcutaneous hemorrhage which were all related with mense. All cases received loci r c esection, l case recured. Conclusion Endometriosis of abdominal wall easily happened in hild-bearing age female who experienced uterus operations, the focus often located in subcutaneous fat ;It has syndromes and physical signs related with mense. The main treatment was resection of foci.

关 键 词：腹壁 子宫内膜异位症 诊断 治疗 

分 类 号：R711[医药卫生—妇产科学]