腹壁子宫内膜异位症外科治疗研究进展  

Research advances on surgical treatment of abdominal wall endometriosis

作　　者：董云霞 王微 倪妍 DONG Yunxia;WANG Wei;NI Yan(The Ninth Clinical Medical College of Shanxi Medical University(Taiyuan Central Hospital),Taiyuan 030000,Shanxi,China)

机构地区：[1]山西医科大学第九临床医学院(太原市中心医院),山西太原030000

出　　处：《中国现代手术学杂志》2025年第1期77-82,共6页Chinese Journal of Modern Operative Surgery

摘　　要：腹壁子宫内膜异位症(abdominal wall endometriosis,AWE)是一种罕见的盆腔外子宫内膜异位症,多见于有剖宫产史的患者。随着剖宫产率上升,AWE发病率逐年增加。外科手术是其主要治疗方式,需在完整切除病灶的同时尽量减少腹壁组织缺损。近年来,随着个体化微创治疗的不断发展,腹腔镜手术、经皮影像引导下冷冻消融术、高强度聚焦超声消融术、超声引导下微波消融术等展现出良好的临床效果,但尚未广泛应用。本文就AWE外科治疗进展综述如下。Abdominal wall endometriosis(AWE)is a rare form of extrapelvic endometriosis,commonly seen in patients with a history of cesarean section.With the rising rate of cesarean deliveries,the incidence of AWE has been increasing annually.Surgical intervention remains the primary treatment,aiming to completely remove the lesions while minimizing abdominal wall tissue injury.In recent years,advances in individualized minimally invasive treatments,such as laparoscopic surgery,percutaneous image-guided cryoablation(PIC),high-intensity focused ultrasound(HIFU)ablation,and ultrasound-guided microwave ablation(US-MWA),have demonstrated promising outcomes,though they are not yet widely adopted.This article reviews the progress in surgical management of AWE.

关 键 词：腹壁子宫内膜异位症 腹腔镜手术 消融治疗 剖宫产术 

分 类 号：R713[医药卫生—妇产科学]