腹壁子宫内膜异位症19例临床分析  

Clinicopathological features of 19 cases with abdominal wall endometriosis

作　　者：姚长芳[1] 陈继明[1] 徐云[1] 郭彩霞[1] 

机构地区：[1]苏州大学附属第三医院妇产科,江苏常州213003

出　　处：《实用妇科内分泌电子杂志》2016年第20期121-123,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨腹壁子宮内膜异位的临床特点及预治方法。方法选取苏州大学附属第三医院2011年8月~2015年12月收治的腹壁子宫内膜异位症（AWE）患者19例作为研究对象,归纳总结AWE的临床资料并予以分析。结果腹壁子宫内膜异位症患者占同期内异症1.81%（19/1049）。发病潜伏期36.8个月,平均（7±83）月,发病潜伏期与发病年龄无相关性（P〉0.05）,与病灶大小无相关性（P〉0.05）。病灶大小与发病时间呈正相关（P=0.02,R=0.54）。超声检查准确率100%,但超声不能探查病灶侵犯深度。19例腹壁子宫内膜异位症患者均采取手术治疗,治疗有效率为100%。结论腹壁子宫内膜异位症根据典型的症状、体征常可正确诊断。手术是确实有效的治疗方法 。Objective To investigate and analysis the diagnosis and prevention of abdominal wall endometriosis（AWE）.Methods Selected Third Affiliated Hospital of Soochow University from August 2011 to December 2015 treated AWE patients with as the research object,summarized the clinical data of AWE and analysis.Results The incidence of AWE was 1.81%（19/1049）.The period between the previous cesarean section（cs）and the onset of symptms of AWE was 36.8 months（7-83 months）,However,the latency was not associated with the age at CS（P〉0.05）.It was not associated with the size of AWE（P〉 0.05）.The duration of disease was positively with size of AWE（P-0.02,R-0.54）.The rate of pre-operational ultrasonography detection was 100%,however,it can’t detect the depth of AWE..All patients were managed by surgical treatment.After surgery,the symptoms were found to be relieved in 100%,Conclusion AWE could be diagnosed prior to operation according to its typical clinical manifestations.Surgical treatment is effective.

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]