CAJ | 학술논문

目的：探讨腹壁子宫内膜异位症的临床特点、治疗方法和预防。方法从本院妇科手术病例中选取2012年1月～2013年12月内诊断为腹壁子宫内膜瘤的患者。对年龄、胎次、症状、手术史、初步诊断、诊断方法、实施手术及复发做了调查及分析。结果40例平均年龄在（32.3±5.2）岁的患者均在下腹部手术瘢痕处或其附近有包块。其主要症状是周期性（40%，n=16）或非周期性（45%，n=18）疼痛，平均持续18.2±23.4个月。术前诊断准确率为（47.5%，n=19）。3例手术治疗失败（3/33，9.1%）并实施二次手术。结论手术后腹壁子宫内膜异位症的发生与手术引起的医源性内膜种植有关，首选手术治疗，重在预防。
목적：탐토복벽자궁내막이위증적림상특점、치료방법화예방。방법종본원부과수술병례중선취2012년1월～2013년12월내진단위복벽자궁내막류적환자。대년령、태차、증상、수술사、초보진단、진단방법、실시수술급복발주료조사급분석。결과40례평균년령재（32.3±5.2）세적환자균재하복부수술반흔처혹기부근유포괴。기주요증상시주기성（40%，n=16）혹비주기성（45%，n=18）동통，평균지속18.2±23.4개월。술전진단준학솔위（47.5%，n=19）。3례수술치료실패（3/33，9.1%）병실시이차수술。결론수술후복벽자궁내막이위증적발생여수술인기적의원성내막충식유관，수선수술치료，중재예방。
Objective To investigate and analyze the clinical features, treatment and prevention of abdominal wall endometriosis. Methods The patients who were diagnosed with abdominal wall endometrioma within 10 years in our hospital as research subjects,we did research on the age,parity,symptoms,operation history,the initial diagnosis,diagnostic methods,the implementation of operation and recurrence. Results 40 cases with an average age of (32.3±5.2)years old have operation scar at or near the mass in lower abdominal.The main symptom wss periodic(40%,n=16)or non periodic(45%,n=18)pain,the average duration time was(18.2 ±23.4)months.The accuracy of preoperative diagnosis was (47.5%,n=19).3 cases of operation were failure (3/33,9.1%)and implemented the second operation. Conclusion The abdominal wall endometriosis after operation is related to Iatrogenic endometrial implants,operation is the first choice of treatment, prevention is important.