目的：探讨腹壁子宫内膜异位症的临床特征、治疗方法及预后情况。方法对我院2007年至2012年收治的21例有剖宫产史患者，在临床特点、发病因素、诊断治疗、预后及预防方面进行回顾性分析。结果本组患者均有大小不等的腹壁肿块，16例有不同程度的周期性疼痛，12例患者有临产前足月剖宫产史，均行超声检查，所有病例行手术切除并经病理证实，未再次复发。结论有剖宫产史的腹壁子宫内膜异位症患者，根据典型症状，体征，结合超声检查可做出正确诊断。手术是唯一确实有效的方法，对较大、较深情况的患者，配合术后合理用药以预防其复发。严格掌握剖宫产手术适应证，提高手术技巧是减少腹壁子宫内膜异位症的有效途径。%Objective To explore the clinical characteristics, treatment and show surgical results of abdominal wall endometriosis (AWE) after cesarean section. Methods The clinical data of 21 cases of AWE at Liaocheng People's Hospital from 2007 to 2012 were reviewed having the history of cesarean section, the clinical features, pathogenesis, diagnosis and treatment, prognosis and prevention were retrospectively analyzed. Results This group of patients have the size ranging from abdominal wall mass, 16 cases with periodic different degree of pain, 12 patients had the full-term cesarean section operation history before labor, patients underwent ultrasound examination, received surgery and confirmed by pathology, had no recurrence. Conclusions AWE of the history of cesarean section could be diagnosed according to its typical clinical manifestations and ultrasonic examination. Surgical treatment is effective. A complete excision with clear margin and postoperative medication are very important to prevent recurrence. Master the indications of cesarean section, improve the technique is an effective way to reduce AWE.
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