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首页> 外文期刊>Journal of endometriosis and pelvic pain disorders. >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：一个17岁患者的回顾性研究切除后腹壁子宫内膜异位症在11年期间的剖腹产

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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：简介:我们的研究的目的是回顾学习的发生率腹壁子宫内膜异位症(敬畏)之后剖腹产(CS)在我们的围产期中心(围产期护理研究所的中心母亲和孩子),最大的之一捷克共和国。回顾医院记录18454剖腹产2003年和2014年之间交付。共17例剖腹产疤痕子宫内膜异位(也称为敬畏)被确定。为36.0(33.5 - -43.5)岁。循环的疼痛。CS与第一症状是3.0 (1.0 - -6.5)年。识别hypoechogenic病变病人。发展和手术切除是1.0年(1.0 - -4.0年)。治疗。例)治疗这些病人。涉及利润有复发患者6和8个月,分别对待再与第二次切除手术。没有例恶性转变识别。高度怀疑CS疤痕子宫内膜异位,特别是在子宫手术。切除是唯一治疗治疗。

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