43例腹壁会阴子宫内膜异位症的临床分析  

Clinical analysis on 43 cases with abdominal wall and perineal endometriosis

作　　者：任黔川[1] 伍宗惠[1] 李晓斌[2] 

机构地区：[1]泸州医学院附属医院妇产科,四川泸州646000 [2]泸州医学院附属第二医院ICU

出　　处：《中国妇幼保健》2011年第28期4338-4339,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨腹壁、会阴子宫内膜异位症的诊断和治疗。方法:对1993～2008年收治的43例腹壁、会阴内异症病例进行回顾性分析。结果:根据临床表现和病理检查,43例均诊断正确。29例腹壁切口内异症均有剖宫产史,14例会阴内异症均有会阴撕裂或侧切史。腹壁内异症完整切除29例,会阴内异症完整切除13例,随访2～5年无复发。结论:根据典型的病史和体检,可以对腹壁、会阴内异症做出正确诊断;手术切除为主要治疗方法。Objective：To explore the diagnosis and treatment of abdominal wall and perineal endometriosis.Methods：43 patients with abdominal wall and perineal endometriosis treated in the hospital from 1993 to 2008 were analyzed retrospectively.Results：43 cases were diagnosed correctly according to clinical manifestations and pathological evidences.29 cases with abdominal wall endometriosis had history of cesarean section,14 cases with perineal endometriosis had history of perineal tear and episiotomy.29 cases with abdominal wall endometriosis and 13 cases with perineal endometriosis were excised totally.All the cases were followed up for 2~5 years,no recurrence occurred.Conclusion：The patients with abdominal wall and perineal endometriosis can be diagnosed correctly according to typical medical history and physical examination.Surgical excision is the first choice for treatment.

关 键 词：腹壁 会阴 子宫内膜异位症 

分 类 号：R711.71[医药卫生—妇产科学]