中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
10期
14-15
,共2页
腹壁切口%子宫内膜异位症%临床诊断%治疗
腹壁切口%子宮內膜異位癥%臨床診斷%治療
복벽절구%자궁내막이위증%림상진단%치료
Abdominal section%Endometriosis%Clinical diagnosis%Treatment
目的：子宫内膜异位症(简称内异症)是生育年龄妇女最常见的疾病之一，当子宫内膜侵及腹壁切口时称为腹壁切口内异症，早发现、早治疗可有效控制疾病进展，减轻患者痛苦。方法本文对2003年10月~2013年10月吉林大学第四医院在院患者中47例腹壁切口内异症患者进行总结分析。结果①掌握腹壁切口内异症诊断方法可提高诊治率；早发现、早治疗，可有效控制疾病发展，减轻患者痛苦。②根据该病的发病学说，防止经血逆流、药物避孕及防止医源性异位内膜种植可起到预防作用。结论①剖宫产术后的腹壁切口内异症最多见，故应控制剖宫产指征，降低腹壁切口内异症的发生率。②该病病程长短与腹壁切口内异症病灶的大小及其浸润深度无关。③腹壁切口内异症最有效的治疗方法是完整切除异位病灶。
目的：子宮內膜異位癥(簡稱內異癥)是生育年齡婦女最常見的疾病之一，噹子宮內膜侵及腹壁切口時稱為腹壁切口內異癥，早髮現、早治療可有效控製疾病進展，減輕患者痛苦。方法本文對2003年10月~2013年10月吉林大學第四醫院在院患者中47例腹壁切口內異癥患者進行總結分析。結果①掌握腹壁切口內異癥診斷方法可提高診治率；早髮現、早治療，可有效控製疾病髮展，減輕患者痛苦。②根據該病的髮病學說，防止經血逆流、藥物避孕及防止醫源性異位內膜種植可起到預防作用。結論①剖宮產術後的腹壁切口內異癥最多見，故應控製剖宮產指徵，降低腹壁切口內異癥的髮生率。②該病病程長短與腹壁切口內異癥病竈的大小及其浸潤深度無關。③腹壁切口內異癥最有效的治療方法是完整切除異位病竈。
목적：자궁내막이위증(간칭내이증)시생육년령부녀최상견적질병지일，당자궁내막침급복벽절구시칭위복벽절구내이증，조발현、조치료가유효공제질병진전，감경환자통고。방법본문대2003년10월~2013년10월길림대학제사의원재원환자중47례복벽절구내이증환자진행총결분석。결과①장악복벽절구내이증진단방법가제고진치솔；조발현、조치료，가유효공제질병발전，감경환자통고。②근거해병적발병학설，방지경혈역류、약물피잉급방지의원성이위내막충식가기도예방작용。결론①부궁산술후적복벽절구내이증최다견，고응공제부궁산지정，강저복벽절구내이증적발생솔。②해병병정장단여복벽절구내이증병조적대소급기침윤심도무관。③복벽절구내이증최유효적치료방법시완정절제이위병조。
Objective Endometriosis is one of the most common disease of reproductive age women, when endometrial invasion and abdominal incision is called incision in different disease. Early detection and early treatment can effectively control the disease progression, relieve patients' pain. Methods This article was retrospectively analyzed for the 47 patients hospitalized in abdominal section of endometriosis from October 2003 to October 2013 in Fourth Hospital of Jilin University. Results ①Master incision in different disease diagnosis method can improve the rate of diagnosis and treatment, early discovery, early treatment,which can effectively control the disease development, relieve patients' pain. ② According to the theory of the pathogenesis of the disease, prevent blood reflux, pill and prevent iatrogenic ectopic endometrium planting can be loaded. Conclusion① Abdominal incision cesarean section in the most common vision disorder, so should be controlled cesarean section indications, reduce the incidence of incision in different disease.②The disease course of length and size of different disease lesions in incision and infiltration depth has nothing to do.③Incision in different disease the most effective treatment is complete removal of ectopic lesions.
