剖宫产切口子宫内膜异位症83例临床分析

发布时间：2018-01-26 02:00

本文关键词： 剖宫产术后并发症子宫内膜异位症　出处：《山东医药》2015年30期 　论文类型：期刊论文

【摘要】：目的总结剖宫产切口子宫内膜异位症的临床特点及诊治经验。方法回顾性分析83例剖腹产切口子宫内膜异位症患者的临床资料。结果 83例患者均为第一胎剖宫产术后6~36个月出现手术瘢痕或邻近瘢痕处疼痛,触诊可及质韧、活动度差、边界不清的肿块,肿块大小及疼痛程度随着月经周期而发生周期性变化。均行腹壁肿物切除术,术后病理检查结果均为腹壁子宫内膜异位症。术后予促性腺激素释放激素激动剂类药物或孕三烯酮口服,随访2年无复发。结论剖宫产术后腹壁子宫内膜异位症临床表现明显,主要靠病理检查确诊,治疗首选手术切除。
[Abstract]:Objective to summarize the clinical features, diagnosis and treatment of endometriosis of cesarean incision. Methods the clinical data of 83 cases with endometriosis of cesarean incision were analyzed retrospectively. All the 83 patients suffered from pain in surgical scar or adjacent scar 6 ~ 36 months after cesarean section of the first trimester. Palpable masses with poor mobility, unclear boundaries, and periodic changes in mass size and pain degree with menstrual cycle. Abdominal wall mass excision was performed. The results of pathological examination were all abdominal endometriosis. Gonadotropin releasing hormone agonists or pregnancy trienone were given orally after operation. Conclusion the clinical manifestation of abdominal wall endometriosis after cesarean section is obvious.
【作者单位】：长沙市第八医院;
【分类号】：R711.71
【正文快照】： 具有活性的子宫内膜组织出现在子宫内膜以外的部位时称为子宫内膜异位症,是一种发生于育龄期妇女的常见疾病,3%~10%的育龄期妇女可患此病。异位病灶多发生于盆腔脏器或者腹膜,如卵巢、子宫骶韧带、直肠子宫陷凹等[1]。偶见子宫内膜异位发生于剖宫产手术切口者,严重影响患者的

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