CAJ | 학술논문

目的：探讨剖宫产术后腹壁切口子宫内膜异位症的临床特点及治疗。方法回顾性分析2008年1月～2013年9月我院收治的剖宫产术后腹壁切口子宫内膜异位症9例患者临床资料。结果所有病例入院后行病灶切除术，术中所见：7例病灶位于腹直肌前鞘，1例病灶累及腹直肌，1例病灶累及腹膜。术后行病理检查示：增生的结缔组织中可见子宫内膜腺体及间质。术后予以抗感染治疗，切口Ⅰ期愈合，治愈率为100%。术后所有患者随诊12个月，未见有复发病例。结论剖宫产术后腹壁切口子宫内膜异位症临床表现较明确，治疗以手术为主，严格控制剖宫产术，术中注意保护腹壁切口及盆腔，可降低腹壁切口子宫内膜异位症的发生。
목적：탐토부궁산술후복벽절구자궁내막이위증적림상특점급치료。방법회고성분석2008년1월～2013년9월아원수치적부궁산술후복벽절구자궁내막이위증9례환자림상자료。결과소유병례입원후행병조절제술，술중소견：7례병조위우복직기전초，1례병조루급복직기，1례병조루급복막。술후행병리검사시：증생적결체조직중가견자궁내막선체급간질。술후여이항감염치료，절구Ⅰ기유합，치유솔위100%。술후소유환자수진12개월，미견유복발병례。결론부궁산술후복벽절구자궁내막이위증림상표현교명학，치료이수술위주，엄격공제부궁산술，술중주의보호복벽절구급분강，가강저복벽절구자궁내막이위증적발생。
Objective To explore the clinical characteristics and treatment of abdominal incisional endometriosis after caesarean section. Methods Clinical data of 9 cases with abdominal incisional endometriosis after cesarean section in our hospital from January 2008 to September 2013 were retrospectively analyzed. Results All cases were underwent lesion resection, intraoperative findings showed that the lesions of 7 cases located in the sheath of rectus abdominis, the lesions of 1 case involved the rectus, the lesions of 1 case involved the peritoneum. Postoperative pathological examination showed that there were endometrial glands and stroma in the connective tissue hyperplasia. Anti infection treatment were given, the incision were healed in theⅠphase, the healing rate was 100%.All patients were followed up 12 months, no recurrence cases happened. Conclusion The clinical characteristics of abdominal incisional endometriosis after caesarean section is clearer, the operation is the main treatment, cesarean section should be strictly controlled, abdominal incision and pelvic should be protected during the surgery, it can reduce the incidence of abdominal incisional endometriosis.