腹壁子宫内膜异位症临床分析  

Clinical analysis of abdominal wall endometriosis

作　　者：索静[1] 张林燕[1] 

机构地区：[1]内蒙古医学院附属医院妇产科,呼和浩特010059

出　　处：《中国医药》2012年第11期1431-1432,共2页China Medicine

摘　　要：目的探讨腹壁子宫内膜异位症的临床特点、诊治方法和预防措施。方法对我院2007年1月至2009年12月收治的15例腹壁子宫内膜异位症患者的临床资料进行回顾性分析。结果所有患者术前B型超声均提示腹壁切口处或下方低回声结节，边界模糊，无完整包膜。病理检查可见子宫内膜腺体和间质纤维素及出血成分，含铁血黄素颗粒的浸润等。15例患者均行腹壁子宫内膜异位病灶切除术，术后随访1～2年均无复发。结论典型的腹壁子宫内膜异位症通常不难诊断，术前B型超声或MRI有助于确定病灶范围，明确解剖关系。手术切除是有效的治疗手段，完整地切除病灶是防止复发的关键。术后药物辅助治疗可能有助于减少复发。Objective To investigate the clinical characteristics, including diagnosis, treatment and prevention measures of the abdominal wall endometriosis ; to discuss the clinical features, diagnosis and prevention in abdominal wall endometriosis. Methods Fifteen cases of abdominal wall endometriosis from January 2007 to December 2009 were reviewed. Results All the 15 eases accepted lesion excision without recurrence after operation in 1-2 years. Conclusion Abdominal wall endometriosis is not difficult to diagnosed, B-ultrasound and MRI are helpful to dectect the range and depth of lesion. The postoperative medication-assisted therapy may help to reduce recurrence. Surgical treatment is the best choice and the drug therapy after surgery will prevent recurrence.

关 键 词：子宫内膜异位症 腹壁 剖宫产术 

分 类 号：R711.71[医药卫生—妇产科学]