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目的探讨腹壁子宫内膜异位症的临床症状,治疗方法。方法回顾性分析24例腹壁子宫内膜异位症患者诊治结果。结果腹壁子宫内膜异位症多数发生于剖宫产术后,表现为月经期在腹壁既往手术部位均出现疼痛性肿块并随月经周期变化,术前诊断明确,手术治疗彻底切除,术后给予口服孕三烯酮3个月,随访1～3年未见复发。结论腹壁子宫内膜异位症治疗首选手术且术后给予口服孕三烯酮3个月治疗,疗效满意。
Objective To investigate the clinical symptoms and treatment of abdominal wall endometriosis. Methods Retrospective analysis of 24 cases of abdominal wall endometriosis diagnosis and treatment of patients. Results Abdominal wall endometriosis mostly occurred after cesarean section, showing the painful lumps in the past operation site of the abdominal wall during menstruation and with the change of menstrual cycle. The preoperative diagnosis was clear and the surgical treatment was completely removed. After the operation, Oral gestrinone 3 months, followed up for 1 to 3 years no recurrence. Conclusion The treatment of abdominal wall endometriosis preferred surgery and oral administration of gestrinone 3 months after treatment, with satisfactory results.