本文選題：腹壁瘢痕子宮內(nèi)膜異位癥 + 手術(shù)��； 參考：《現(xiàn)代婦產(chǎn)科進(jìn)展》2017年06期

【摘要】：目的:探討改良法治療剖宮產(chǎn)術(shù)后巨塊型腹壁瘢痕子宮內(nèi)膜異位癥(EMs)的療效。方法:回顧分析2010年1月至2015年10月于中山大學(xué)附屬第一醫(yī)院婦科行手術(shù)治療并經(jīng)術(shù)后病理證實(shí)病灶直徑大于5cm的14例剖宮產(chǎn)后腹壁瘢痕EMs患者的臨床病例資料,其中6例采用常規(guī)手術(shù)(切口直徑大于病灶1~2cm),8例采用改良手術(shù)(切口擴(kuò)大至原剖宮產(chǎn)瘢痕大小并整形切口)。結(jié)果:14例患者病灶均累及脂肪組織、腹直肌及筋膜層,5例同時(shí)累及腹膜層。切除病灶直徑6~10cm,平均7.5cm。5例行常規(guī)手術(shù)的患者術(shù)后出現(xiàn)切口脂肪液化,切口滲液平均8.9天(7~15天),術(shù)后復(fù)診見患者腹壁切口處局部不平整,有不同程度凹陷或隆起。8例行改良手術(shù)的患者術(shù)后切口滲液平均3.8天(0~7天),腹壁手術(shù)瘢痕處切口對(duì)合好,腹壁平整,無凹陷或隆起。結(jié)論:改良術(shù)式治療腹壁瘢痕內(nèi)異癥,術(shù)后傷口滲液少,愈合快,切口整齊美觀,療效確切,值得臨床推廣。
[Abstract]:Objective: to investigate the effect of modified method on massive abdominal scar endometriosis after cesarean section. Methods: the clinical data of 14 patients with postcesarean scar (EMs) undergoing gynecological surgery in the first affiliated Hospital of Sun Yat-sen University from January 2010 to October 2015 and proved by pathology to be larger than 5cm were retrospectively analyzed. Among them, 6 cases were treated with conventional operation (the diameter of the incision was larger than 1 ~ 2 cm) and 8 cases were treated with modified operation (the incision was expanded to the size of the original cesarean scar and the plastic incision was performed. Results all the lesions of 14 cases involved adipose tissue, and 5 cases of rectus abdominis and fascia were involved in the peritoneal layer at the same time. The diameter of the lesion was 6 ~ 10 cm. The average 7.5cm.5 patients who underwent routine operation had incision fat liquefaction, incision exudate averaged 8.9 days and 715 days. The local incision of the abdominal wall of the patients was found to be unleveled after operation. The average incision exudate was 3.8 days and 7 days after operation in patients with different degree of depression or uplift. The incision at the scar of abdominal wall was well closed, the abdominal wall was flat, and there was no indentation or bulge. Conclusion: the modified operation has the advantages of less exudate, quick healing, neat and beautiful incision, definite curative effect and worthy of clinical application.
【作者單位】： 中山大學(xué)附屬第一醫(yī)院;
【分類號(hào)】：R713.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 呂衛(wèi)國,石一復(fù);巨塊型宮頸癌的生物學(xué)行為與處理[J];浙江醫(yī)科大學(xué)學(xué)報(bào);1998年04期

2 夏紅;林仲秋;徐燕;楊麗;陳翊;吳少雄;;巨塊型宮頸癌術(shù)前高劑量率腔內(nèi)放療近期療效分析[J];中國實(shí)用婦科與產(chǎn)科雜志;2006年08期

3 李胡斌;中晚期巨塊型宮頸癌120例分析[J];中原醫(yī)刊;2001年12期

4 侯瓊梅,江紅;插植后裝放療及化療在Ⅰb~Ⅱb期巨塊型宮頸癌術(shù)前的作用[J];河南腫瘤學(xué)雜志;2005年05期

5 張麗芬;趙金紅;許玉珍;陳文妹;李鷗;劉恩令;;巨塊型宮頸癌13例治療體會(huì)[J];山東醫(yī)藥;2007年12期

6 仇龍山;彭素蓉;;巨塊型Ⅰb、Ⅱa宮頸癌的術(shù)前處理方式探討[J];實(shí)用癌癥雜志;2009年06期

7 湯巍巍;于明新;尉陽;程召霞;;術(shù)前新輔助化療對(duì)巨塊型宮頸癌的療效研究[J];實(shí)用癌癥雜志;2014年05期

8 宋承霞,林厚斌,李芳;82例巨塊型宮頸癌單純放療療效分析[J];江蘇醫(yī)藥;2000年02期

9 金華;楊建梅;古麗娜·庫爾班;;宮頸癌巨塊型介入治療的近期臨床療效觀察[J];新疆醫(yī)學(xué);2006年01期

10 劉愛榮;司曉楓;高力英;;加減八珍湯對(duì)巨塊型宮頸癌放療患者血紅蛋白的影響[J];衛(wèi)生職業(yè)教育;2012年08期

相關(guān)會(huì)議論文 前3條

1 牛書懷;房朝暉;李魁秀;宋藏珠;樊曉妹;;巨塊型宮頸癌幾種治療方法的比較[A];第四屆中國腫瘤學(xué)術(shù)大會(huì)暨第五屆海峽兩岸腫瘤學(xué)術(shù)會(huì)議論文集[C];2006年

2 趙晶;喬俏;商文清;;早期巨塊型宮頸癌術(shù)前放化療臨床觀察[A];2007第六屆全國放射腫瘤學(xué)學(xué)術(shù)年會(huì)論文集[C];2007年

3 房瑜;馮文;陸薇;;巨塊型宮頸癌術(shù)前輔助適量放療臨床觀察[A];中國抗癌協(xié)會(huì)婦科腫瘤專業(yè)委員會(huì)第七次全國學(xué)術(shù)會(huì)議論文匯編[C];2003年

相關(guān)碩士學(xué)位論文 前2條

1 劉金濤;巨塊型宮頸癌新輔助化療的臨床分析[D];大連醫(yī)科大學(xué);2006年

2 張慧珍;局部巨塊型宮頸癌新輔助化療臨床觀察[D];山西醫(yī)科大學(xué);2005年

，

本文編號(hào)：2009747