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腹壁子宫内膜异位症180例病例分析

发布时间:2018-08-28 10:47
【摘要】:目的:分析腹壁子宫内膜异位症的临床特点、诊断及治疗方法,探讨其诊断手段、有效的防治方法。方法:回顾性分析2013年1月至2015年12月浙江大学医学院附属妇产科医院收治的180例腹壁子宫内膜异位症的临床资料。结果:180例患者均有下腹部手术史,其中178例继发于剖宫产术后,发病潜伏期为下腹部手术后1月-24年,年龄35岁与≥35岁患者相比,潜伏期更短(P0.05)。175例患者接受了手术治疗,其中病灶位于皮下组织70例,腹直肌鞘36例,腹直肌57例,深筋膜2例,腹膜10例,病灶浸润深度与病程长短无明显关系(P0.05)。173例得到病理证实。结论:腹壁子宫内膜异位症根据典型的症状和体征及下腹部手术史,常可正确诊断,对于无典型症状者,超声、核磁共振等可辅助诊断,手术是最有效的治疗方法,降低剖官产率,术中注意保护腹壁切口等措施可有效降低腹壁子宫内膜异位症的发生率。
[Abstract]:Objective: to analyze the clinical features, diagnosis and treatment of abdominal endometriosis. Methods: the clinical data of 180 cases of abdominal endometriosis treated in Department of Obstetrics and Gynecology affiliated to Zhejiang University Medical College from January 2013 to December 2015 were retrospectively analyzed. Results all of the 180 patients had a history of lower abdominal surgery, of which 178 cases were secondary to cesarean section. The incubation period was from 1 month to 24 years after lower abdominal surgery. The incubation period of 35 years old patients was shorter than that of 鈮,

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