【摘要】：目的:分析腹壁子宮內(nèi)膜異位癥的臨床特點(diǎn)、診斷及治療方法,探討其診斷手段、有效的防治方法。方法:回顧性分析2013年1月至2015年12月浙江大學(xué)醫(yī)學(xué)院附屬婦產(chǎn)科醫(yī)院收治的180例腹壁子宮內(nèi)膜異位癥的臨床資料。結(jié)果:180例患者均有下腹部手術(shù)史,其中178例繼發(fā)于剖宮產(chǎn)術(shù)后,發(fā)病潛伏期為下腹部手術(shù)后1月-24年,年齡35歲與≥35歲患者相比,潛伏期更短(P0.05)。175例患者接受了手術(shù)治療,其中病灶位于皮下組織70例,腹直肌鞘36例,腹直肌57例,深筋膜2例,腹膜10例,病灶浸潤(rùn)深度與病程長(zhǎng)短無明顯關(guān)系(P0.05)。173例得到病理證實(shí)。結(jié)論:腹壁子宮內(nèi)膜異位癥根據(jù)典型的癥狀和體征及下腹部手術(shù)史,常可正確診斷,對(duì)于無典型癥狀者,超聲、核磁共振等可輔助診斷,手術(shù)是最有效的治療方法,降低剖官產(chǎn)率,術(shù)中注意保護(hù)腹壁切口等措施可有效降低腹壁子宮內(nèi)膜異位癥的發(fā)生率。
[Abstract]:Objective: to analyze the clinical features, diagnosis and treatment of abdominal endometriosis. Methods: the clinical data of 180 cases of abdominal endometriosis treated in Department of Obstetrics and Gynecology affiliated to Zhejiang University Medical College from January 2013 to December 2015 were retrospectively analyzed. Results all of the 180 patients had a history of lower abdominal surgery, of which 178 cases were secondary to cesarean section. The incubation period was from 1 month to 24 years after lower abdominal surgery. The incubation period of 35 years old patients was shorter than that of 鈮，

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