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首页> 外文期刊>Journal of endometriosis. >A retrospective study of 17 patients who had excision of abdominal wall endometriosis after caesarean section over an 11-year period
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A retrospective study of 17 patients who had excision of abdominal wall endometriosis after caesarean section over an 11-year period

机译：在11年期间剖腹产后患有腹部子宫内膜异位症的17名患者的回顾性研究

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Introduction: The aim of our study was to retrospectively learn about the incidence of abdominal wall endometriosis (AWE) after caesarean section (CS) in our Perinatal Centre (Perinatal Centre of the Institute for the Care of Mother and Child), one of the largest in the Czech Republic.Methods: This is a retrospective review of hospital records on 18,454 caesarean deliveries between 2003 and 2014. Results: A total of 17 cases of caesarean scar endometriosis (also known as AWE) were identified. The median age was 36.0 (33.5-43.5) years. In 10 patients, the cyclic pain was present. The median interval between CS and first symptoms was 3.0 (1.0-6.5) years. Ultrasound supported the diagnosis by the identification of hypoechogenic lesions in all patients. The median interval between symptoms development and surgical excision was 1.0 year (1.0-4.0 years). Excision was the mode of treatment. Excisions with clear margins (15 cases) were curative to all those patients. Two patients with involved margins had recurrences at 6 and 8 months, respectively, and were treated with a second resection with no further surgery. No malignant transformation cases were identified. Conclusions: Physicians should be highly suspicious of CS scar endometriosis, especially after uterine surgery. Complete excision is the only curative treatment.
机译：介绍：我们的研究目的是回顾我们在我们的Perinateal Center（Chers Chare Chare Choreitute Chareitute Choreitute）中的剖腹产段（CS）后腹壁子宫内膜异位症（AWE）发生率，这是最大的在捷克共和国。方法：这是2003年至2014年之间的18,454名剖腹产的医院记录的回顾性审查。结果：确定了17例凯撒瘢痕子宫内膜异位症（也称为AWE）。中位年龄为36.0（33.5-43.5）年。在10名患者中，存在循环疼痛。 CS和第一个症状之间的中位间隔为3.0（1.0-6.5）年。超声波通过鉴定所有患者的次乳糖病变来支持诊断。症状开发和手术切除之间的中位间隔为1.0年（1.0-4.0岁）。切除是治疗方式。具有清晰边际（15例）的自我激发是对所有患者的疗效。涉及的两名涉及的边缘患者分别在6和8个月内复发，并用第二次切除治疗，没有进一步的手术。没有确定恶性转化案例。结论：医生应该对CS瘢痕子宫内膜异位症感到高度可疑，特别是在子宫手术后。完全切除是唯一的治疗方法。

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