本文選題：剖宮產(chǎn)　切入點：腹壁子宮內(nèi)膜異位癥　出處：《現(xiàn)代婦產(chǎn)科進展》2015年08期 　論文類型：期刊論文

【摘要】：目的:分析剖宮產(chǎn)腹壁切口子宮內(nèi)膜異位癥的診斷、治療和臨床特點,探討有效的治療和預防方法。方法:回顧分析2007年1月至2014年10月北京大學人民醫(yī)院收治的94例剖宮產(chǎn)腹壁切口子宮內(nèi)膜異位癥的臨床資料。結(jié)果:94例剖宮產(chǎn)腹壁切口子宮內(nèi)膜異位癥發(fā)生時間為剖宮產(chǎn)術(shù)后1月至13年,病灶大小(2.87±0.13)cm,位于皮下69例、肌層16例,侵犯腹膜9例。年齡35歲與≥35歲患者相比,潛伏期更短(P0.05);哺乳期6個月與≥6個月的患者相比,潛伏期更短(P0.05)。手術(shù)切除病灶后,18例采用藥物治療3~6個月(促性腺激素釋放激素激動劑GnRHa),76例未接受藥物治療,局部均無復發(fā)。結(jié)論:近年剖宮產(chǎn)切口子宮內(nèi)膜異位癥的發(fā)生增多,年齡和哺乳期與發(fā)病潛伏期相關(guān),手術(shù)是最有效的治療選擇,剖宮產(chǎn)術(shù)中應積極預防。
[Abstract]:Objective: to analyze the diagnosis, treatment and clinical features of abdominal incision endometriosis in cesarean section. Methods: from January 2007 to October 2014, the clinical data of 94 cases of endometriosis with abdominal incision of cesarean section in Peking University people's Hospital were retrospectively analyzed. Results: 94 cases of cesarean section were performed. Endometriosis of wall incision occurred from January to 13 years after cesarean section. The lesion size was 2.87 鹵0.13 cm, located in subcutaneous 69 cases, myometrium in 16 cases, invasion of peritoneum in 9 cases. The incubation period of patients aged 35 years and 鈮，

本文編號：1569622