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机构地区:[1]江苏省姜堰市人民医院妇产科,江苏姜堰225500
出 处:《海南医学院学报》2011年第1期109-110,共2页Journal of Hainan Medical University
基 金:海南医学院科研基金资助学报项目(0020110020)~~
摘 要:目的:探讨剖宫产术后腹壁切口子宫内膜异位症的发病机制,临床诊治及预防措施。方法:对收治的继发于剖宫产术后的腹壁切口子宫内膜异位症患者32例临床资料进行回顾性分析。结果:本组患者32例,24例(75.00%)病灶位于皮下脂肪及腹直肌前鞘,6例(18.75%)病灶向下浸及腹直肌,2例(6.25%)病灶累及腹直肌后鞘及腹膜。所有患者均行局部病灶切除,切除范围达病灶外1~1.5cm正常组织,术后随访未见复发。结论:严格掌握剖宫产指征,降低剖宫产率,提高剖宫产的手术质量,可预防腹壁切口子宫内膜异位症。Objective:To explore the diagnosis,prevention and treatment of endometriosis after uterine-incision delivery.Methods:Data of 32 cases of endometriosis after uterine-incision delivery were retrospectively analyzed.Results:Endometriosis lesions in 24 of the 32 patients(75.00%) were located in subcutaneous fat or rectus sheath,while infiltrated the rectus abdominis muscle in 6 cases(18.75%);for another 2 cases(6.25%) rectus abdominis sheath and peritoneum were involved too.All patients underwent local excision of 1.0-1.5 cm of normal tissue outside the lesions.Follow up revealed no recurrence.Conclusion:Strict control of cesarean delivery indications can decrease the incidence and improve its quality,thus help to prevent endometriosis.
关 键 词:剖宫产术 腹壁切口子宫内膜异位症 病灶切除
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