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目的探讨剖宫产术后腹壁切口子宫内膜异位症(内异症)的病因、诊断、治疗、预防。方法回顾性分析32例剖宫产术后腹壁切口内异症患者的临床资料。结果 32例术后病理诊断均符合内异症,术后随访12~50个月均无复发。结论腹壁切口内异症的最主要医源性因素是剖宫产,其发生与个体差异及术中操作不当等均有关,可根据病史、典型临床表现、超声作出诊断,首选手术治疗,必要时于手术前后配合药物治疗。
Objective To investigate the etiology, diagnosis, treatment and prevention of endometriosis (endometriosis) after cesarean section incision. Methods Retrospective analysis of 32 cases of cesarean section after abdominal incision endometriosis clinical data. Results 32 cases of pathological diagnosis were consistent with endometriosis, follow-up of 12 to 50 months were no recurrence. Conclusion Abdominal wall incision endometriosis is the most important source of cesarean section, its occurrence and individual differences and improper operation and so on are related to history, typical clinical manifestations, diagnosis of ultrasound, the preferred surgical treatment, if necessary Before and after surgery with drug treatment.