84例腹壁瘢痕子宫内膜异位症,多发生在剖宫流产和足月妊娠剖腹产术后2年内。81例宫内膜镜检为增生期和轻度增生过长,3例可见分泌反应。其病因可能是手术过程中子宫内膜植入腹壁所致。因此,手术中避免子宫内膜污染切口是防止其发生的根本环节。腹壁瘢痕异位内膜对孕激素反应不敏感,与局部血液循环较差有关。 84 cases of abdominal wall scar endometriosis, occurred in cesarean section and full-term gestational caesarean section within 2 years. 81 cases of endometrial microscopy for hyperplasia and mild hyperplasia, 3 cases of secretory response. The etiology may be due to surgical implantation of the endometrium due to the abdominal wall. Therefore, surgery to prevent endometrial contamination incision is to prevent the occurrence of the fundamental link. Abdominal wall ectopic endometrium is not sensitive to progesterone, and local blood circulation is poor.