中国剖宫产术后腹壁切口子宫内膜异位症的现状与思考  

Current Situation and Thinking of Abdominal Wall Incision Endometriosis After Cesarean Section in China

作　　者：张鸿慧[1] 邢华英[2] 刘绪芳 蒋英敏 葛志娟[5] 邹和梅 费翠芹 

机构地区：[1]南京军区南京总医院妇科,210002 [2]江苏省人民医院 [3]江苏省淮安市洪泽县妇幼保健院 [4]江苏省宜兴市第二人民医院 [5]江苏省沭阳县人民医院 [6]江苏省淮安市金湖县中医院 [7]江苏省淮安市涟水县人民医院

出　　处：《国际妇产科学杂志》2012年第5期521-524,532,共5页Journal of International Obstetrics and Gynecology

摘　　要：目的:了解中国剖宫产术后继发腹壁切口子宫内膜异位症的现状。方法:在"中国知网(CNKI)"首页,进入总库检索,在主题中输入"剖宫产"并含"子宫内膜异位症",选择"精确",点击"检索文献",逐条学习关于"剖宫产术后腹部切口子宫内膜异位症"方面的文章,按"作者单位"所在省/直辖市/自治区及"发表时间"所在年度进行统计分析。结果:①检索CNKI中,关于"剖宫产术后腹部切口子宫内膜异位症"方面的文献427篇,共计5 169例患者,"作者单位"所涉及的省/直辖市/自治区共有29个,占85.29%(29/34);前5位省份是江苏、浙江、河南、山东和四川等省,最后5位是宁夏、福建、江西、甘肃和青海等省。②CNKI中,关于"剖宫产术后腹部切口子宫内膜异位症"方面的文章,最早发表于1984年,前20年共有70篇,占16.39%;而在2004年之后,其构成比呈逐年增加趋势,至2010年达到18.03%。结论:①剖宫产术后腹部切口子宫内膜异位症的致病因素支持子宫内膜"种植学说"。②剖宫产术后腹部切口子宫内膜异位症表现出明显的地域性,可能与其剖宫产"模式"密切相关。③剖宫产术后腹部切口子宫内膜异位症呈逐年增长趋势。④提高对"剖宫产术后腹部切口子宫内膜异位症"的认识,严格掌握剖宫产指征,控制剖宫产率,提高手术质量,是降低腹部切口子宫内膜异位症的关键举措,也可能是未来减少或杜绝医疗纠纷的关键。Objective：To investigate Chinese current situation of secondary abdominal wall endometriosis after cesarean section incision.Methods：In ＂China know nets（CNKI）＂ the home page,especially into the theme retrieval,input ＂method＂ and including ＂endometriosis＂,select ＂accurate＂,and click ＂retrieval literature＂,ideally suited to learn about ＂after cesarean section abdominal incision endometriosis＂ articles,click ＂the author unit＂ of the province/municipality and ＂published time＂ in the annual statistical analysis.Results：① in CNKI,＂after cesarean section abdominal incision endometriosis＂ literature is a total of 427 article,total 5 169 patients,＂the author unit＂ of the province/involved were 29,85.29%（29/34） municipality were involved.The top five provinces is Jiangsu,Zhejiang,Henan,Shandong and Sichuan provinces,the last five is mingier,Fujian,Jiangxi,Gansu and Qinghai provinces.② in CNKI,about ＂after cesarean section abdominal incision endometriosis＂ aspects of the article,first published in 1984,there were 70 articles in earlier 20 years,accounted for 16.39%.After 2004,the incidence has increased year by year,then reached to 18.03% in 2010.Conclusions：①After cesarean section abdominal incision endometriosis,the pathogenic factors support endometrial ＂planting theory＂.②The abdominal incisions endometriosis after cesarean section displays obviously regional characteristic,probably closely related with its ＂model＂ section.③The cesarean section postoperative abdominal incision endometriosis increases year by year.④The improvement of ＂cesarean section postoperative abdominal incision endometriosis＂awareness,strict control of cesarean section indications,control the rate of cesarean section,enhance the quality of operation,reduce abdominal incision endometriosis key initiatives,perhaps also key to reduce or eliminate the medical disputes in the future.

关 键 词：剖宫产术 子宫内膜异位症 腹壁 流行病学研究 

分 类 号：R711.71[医药卫生—妇产科学]