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作 者:陈晓琦[1] 洛若愚[1] 皮洁[1] 贾胜楠[1]
出 处:《中国性科学》2016年第10期49-52,共4页Chinese Journal of Human Sexuality
摘 要:腹壁子宫内膜异位症(abdominal wall endometriosis,AWE)是一种特殊类型的盆腔外子宫内膜异位症,最常见于剖宫产术后切口瘢痕处,目前临床尚无统一的诊治标准。其临床表现主要为切口瘢痕周围出现圆形或椭圆形的实性肿块及与月经相关的周期性渐进性疼痛等。诊断需详细询问病史,并结合临床表现及相关的辅助检查。药物治疗以甾体类激素、消炎药物为主,但临床疗效差。局部病灶切除术是临床上常用的治疗AWE的有效手段。AWE虽是良性疾病但却会出现如复发、甚至恶变的恶性行为。Abdominal wall endometriosis( AWE) is a special type of pelvic outside endometriosis,most common in the cesarean incision scar. Currently there is no unified standard for its clinical diagnosis and treatment.The prominent clinical manifestations include round or oval solid mass around the scar,menstrual cycle and progressive pain around the scar. Careful history,clinical presentation and associated examinations are essential to makecorrect diagnosis. Drug treatment is based on hormones and anti- inflammatory drugs with poor clinical efficacy,and lesion resection surgery is an effective method commonly used. Although AWE is a benign disease,relapse and even deterioration is common.
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