94例剖宫产腹壁切口子宫内膜异位症的临床研究

发布时间：2018-03-05 09:15

  本文选题：剖宫产　切入点：腹壁子宫内膜异位症　出处：《现代妇产科进展》2015年08期 　论文类型：期刊论文

【摘要】：目的:分析剖宫产腹壁切口子宫内膜异位症的诊断、治疗和临床特点,探讨有效的治疗和预防方法。方法:回顾分析2007年1月至2014年10月北京大学人民医院收治的94例剖宫产腹壁切口子宫内膜异位症的临床资料。结果:94例剖宫产腹壁切口子宫内膜异位症发生时间为剖宫产术后1月至13年,病灶大小(2.87±0.13)cm,位于皮下69例、肌层16例,侵犯腹膜9例。年龄35岁与≥35岁患者相比,潜伏期更短(P0.05);哺乳期6个月与≥6个月的患者相比,潜伏期更短(P0.05)。手术切除病灶后,18例采用药物治疗3~6个月(促性腺激素释放激素激动剂GnRHa),76例未接受药物治疗,局部均无复发。结论:近年剖宫产切口子宫内膜异位症的发生增多,年龄和哺乳期与发病潜伏期相关,手术是最有效的治疗选择,剖宫产术中应积极预防。
[Abstract]:Objective: to analyze the diagnosis, treatment and clinical features of abdominal incision endometriosis in cesarean section. Methods: from January 2007 to October 2014, the clinical data of 94 cases of endometriosis with abdominal incision of cesarean section in Peking University people's Hospital were retrospectively analyzed. Results: 94 cases of cesarean section were performed. Endometriosis of wall incision occurred from January to 13 years after cesarean section. The lesion size was 2.87 卤0.13 cm, located in subcutaneous 69 cases, myometrium in 16 cases, invasion of peritoneum in 9 cases. The incubation period of patients aged 35 years and 鈮，

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