腹壁子宫内膜异位症诊治和预防专家共识(2024年版)  

Expert consensus on diagnosis and prevention of abdominal wall endometriosis(2024 edition)

作　　者：山东省妇幼保健协会妇科分会 山东省疼痛医学会妇产科专业委员会 山东省妇幼保健院 支园园 姜艳艳 郎芳芳 张师前 Gynecology Branch of Shandong Maternal and Child Health Association;Obstetrics and Gynecology Professional Comi tee of Shandong Pain Medicine Association

机构地区：[1]不详 [2]山东省妇幼保健院

出　　处：《社区医学杂志》2025年第1期1-8,共8页Journal Of Community Medicine

摘　　要：腹壁子宫内膜异位症(AWE)是最常见的盆腔外子宫内膜异位症,发病率呈逐年上升趋势,腹部手术史尤其是剖宫产手术史是最重要的危险因素。典型的临床表现及超声检查可协助诊断,确诊依赖于病理学检查。依据症状、分型、影像学评估、患者意愿等因素综合制定治疗策略,手术切除是AWE的首选治疗方法。AWE复发率低,应警惕反复复发者存在恶变的可能。Abdominal wall endometriosis(AWE)is the most common form of extrapelvic endometriosis,and its incidence shows an increasing trend year by year.A history of abdominal surgery,especially cesarean section,is the most important risk factor.Typical clinical manifestations and ultrasonography can assist in the diagnosis,and the final diagnosis depends on pathological examination.A comprehensive treatment strategy is formulated based on factors such as symptoms,classification,imaging evaluation,and patients'wishes.Surgical resection is the preferred treatment method for AWE.The recurrence rate of AWE is low,and the possibility of malignant transformation in those with repeated recurrence should be alerted.

关 键 词：子宫内膜异位症 腹壁 剖宫产术 恶变 

分 类 号：R711.71[医药卫生—妇产科学]