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目的 探讨腹壁子宫内膜瘤的诊断、治疗和误诊误治的原因。方法 回顾性分析我院 1991年12月～ 2 0 0 2年 12月剖宫产后发生的腹壁子宫内膜瘤病例资料。结果 十年间剖宫产 2 0 10例 ,发生腹壁子宫内膜瘤 6例 ,发病率 0 .3%。术前误诊 2例。全部手术切除 ,5例 1次手术治愈 ;1例术后复发 ,再次手术切除治愈。结论 详细的病史、查体结合B超检查 ,一般可作出诊断。局部广泛切除是治疗腹壁子宫内膜瘤的基本方法。误诊的主要原因是外科医生对此病缺乏认识 ,切除范围不足是术后复发的原因
Objective To investigate the diagnosis, treatment and misdiagnosis of abdominal wall endometrial cancer. Methods A retrospective analysis of our hospital from December 1991 to December 2002 cesarean section occurred after cesarean section cases of endometrial cancer data. Results 10 cases of cesarean section in 10 cases, 6 cases of abdominal wall endometrial disease, the incidence rate of 0.3%. Preoperative misdiagnosis in 2 cases. All surgically resected, 5 cases of a surgical cure; 1 case of recurrence, resection and cure again. Conclusions Detailed medical history, physical examination combined with B-ultrasound, the general diagnosis can be made. Extensive resection of the local abdominal wall is the basic method of endometrial cancer. The main reason for misdiagnosis is the lack of understanding of the disease by surgeons, the lack of excision is the reason for postoperative recurrence