剖宫产术后腹壁切口子宫内膜异位症21例分析  

An analysis of 21 cases of abdominal wall endometriosis after cesarean section

作　　者：卢潭敏[1] 王晓兵[1] 

机构地区：[1]山东省聊城市人民医院妇产科,山东聊城252000

出　　处：《中国妇幼健康研究》2010年第3期374-375,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的 探讨剖宫产术后腹壁切口子宫内膜异位症的发生原因及预防措施.方法 对收集的21例剖宫产术后腹壁切口子宫内膜异位症患者的病历资料进行总结分析.结果 剖宫产术后腹壁切口子宫内膜异位症的发生与妇产科手术有直接关系.21例患者均行腹壁异位病灶切除术,术中发现病灶位于皮下未及筋膜者4例（19.0%）,深达筋膜及肌层者14例（66.7%）,其余3例（14.3%）累及腹膜,术后病理报告为子宫内膜腺体、间质、炎细胞及出血.结论 手术中应加强无菌意识,严格无菌操作规程,术中做好腹壁切口的防护可避免和减少腹壁切口子宫内膜异位症的医源性传播.经正确诊断并及早治疗,剖宫产术后腹壁切口的子宫内膜异位症是可以治愈的.Objective To investigate causes and preventive measures of abdominal wall endometriosis after caesarean section. Methods The case records of 21 women with abdominal wall endometriosis after cesarean section were analyzed. Results The incidence of abdominal wall endometriosis was directly related to gynecological surgery. 21 patients received resection of abdominal wall ectopic focuses. In operation, the ectopic focuses of 4 patients were found locating in subcutaneous layer without involving in fascial layer, the ones of 14 patients were found involving in fascial layer and muscular layer, the ones of rest 3 patients were found involving in peritoneum. The postoperative pathological results showed that the ectopic tissues resected belonged to endometrial glands, metrix, inflammatory cells and hemorrhage, so the diagnosis of endometriosis was conformed. Conclusion Strengthening sterilization awareness of the operators, strictly obeying regulations of sterile operation, pretecting the abdominal wall incision well in cesarean section are all effective measures to avoid and reduce incidence of introgenic transmission of endometriosis in abdominal wall incision. The abdominal wall endometriosis after caesarean section is curable if it is diagnosed correctly and is treated early.

关 键 词：子宫内膜异位症 腹壁 剖宫产术 医源性传播 

分 类 号：R711.71[医药卫生—妇产科学] R719.8[医药卫生—临床医学]