切口子宫内膜异位症29例临床分析  

The Clinical Analysis of 29 Cases of Incisonal Endometriosis

作　　者：王振文[1] 唐微[1] 

机构地区：[1]东莞市桥头医院妇产科,广东东莞523523

出　　处：《实用临床医学（江西）》2010年第5期60-61,68,共3页Practical Clinical Medicine

摘　　要：目的探讨腹壁切口及会阴切口子宫内膜异位症的诊断、治疗方法,总结降低手术并发症的经验。方法回顾性分析29例切口子宫内膜异位症患者的临床特点、治疗方法及发病相关因素。结果29例患者均有随月经周期变化的疼痛性肿块,有较为典型的病史。全部接受手术治疗,9例术后给予药物补充治疗,术后随访1~3年,均无复发。结论根据患者病史,结合其症状、体征,基本可获得切口子宫内膜异位症的正确诊断。切口子宫内膜异位症的发生与术中的不当操作及个体差异有关,采取正确的预防措施是防治本病的关键,手术操作要精细,术中注意切口的保护,术后清洗伤口,减少不必要的操作是预防发生切口子宫内膜异位症的关键。手术是有效治疗方法,对较大、较深病灶,可适当扩大手术范围;术后预防性药物补充治疗是防止复发的关键。Objective To study on the diagnosis and curing methods of abdominal incisional as well as perineal incisional,and to reduce complications of the surgery.Method To retrospective analysis 29 patients of incisional endometriosis about the clinical features,curing methods and pathogenic factors.Result All of the 29 patients have mass which hurts regular according to their period time and these are comparatively typical medical history.29 patients had all received surgeries,9 patients among them took drug treatments afterwards.1 to 3 years after their medical treatments none of them had recrudescence.Conclusion Based on patients medical history,symptoms as well as their objective signs,the right diagnosis of incisional endometriosis can be made basically.The existence of incisional endometriosis is related to improper operations and individual differences.The key is to have the right precautious methods.During the surgery,one should operate precisely and implement good protection of the incision.Clean the wounds after surgeries and reduce the unnecessary procedures are the main method to avoid incisional endometriosis.Surgery is an effective curing method;while the more severe symptoms need to have wider cover of the surgery and drug treatment afterwards are the key points to prevent recrudescence.

关 键 词：腹壁切口 会阴切口 子宫内膜异位症 

分 类 号：R711.74[医药卫生—妇产科学]