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目的探讨剖宫产手术后腹壁切口子宫内膜异位症的临床诊断与治疗方法。方法选择我院收治的32例剖宫产手术后腹壁切口子宫内膜异位症患者作为研究对象,随机分为对照组和观察组,对照组采用孕三烯酮进行治疗,观察组采用手术进行治疗,观察两组临床治疗效果。结果观察组治疗有效32例,治愈率100%,对照组治疗有效18例,治愈率56.25%,两组临床治疗效果比较经统计分析差异有统计学意义(P<0.05)。观察组患者未出现复发,对照组复发10例,复发率为31.25%,两组复发率比较经统计分析差异有统计学意义(P<0.05)。结论剖宫产手术后腹壁切口子宫内膜异位症应结合患者病史及临床症状及体征进行有效诊断,手术治疗是首选的治疗方案,疗效好且并发症和复发相对较少,值得在临床大力推广使用。
Objective To investigate the clinical diagnosis and treatment of endometriosis after cesarean section incision. Methods 32 cases of abdominal incision endometriosis after cesarean section surgery were selected as research objects and randomly divided into control group and observation group. The control group was treated with gestrinone. The observation group was operated on Treatment, observe the clinical treatment effect of two groups. Results The observation group of effective treatment of 32 cases, the cure rate was 100%, the control group of 18 cases of effective treatment, the cure rate was 56.25%. The clinical efficacy of the two groups by statistical analysis, the difference was statistically significant (P <0.05). There was no recurrence in the observation group and 10 cases in the control group. The recurrence rate was 31.25%. The recurrence rate of the two groups was statistically significant (P <0.05). Conclusion Abdominal wall incision endometriosis after cesarean section surgery should be combined with the history of patients and clinical symptoms and signs of effective diagnosis, surgical treatment is the treatment of choice, good effect and fewer complications and relapse, it is worth in clinical practice Promote use.