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目的:分析腹壁切口子宫内膜异位症的临床诊断要点,探讨其有效治疗措施。方法:回顾性分析我院近四年来收治的18例腹壁切口子宫内膜异位症病例的临床资料。结果:18例患者经病史采集、临床表现(切口瘢痕于经期胀痛、病灶位于瘢痕周围、胀痛的肿块质韧、边界模糊、活动度差)、辅助检查(超声检查显示非均质的实性混合包块)及体格检查均作出了准确的术前诊断;均经手术局部切除治疗,手术顺利,病理活检显示子宫内膜腺体和间质散在于结缔组织中。术后切口愈合较好,无感染病例,随访2～3年,未见复发病例。结论:腹壁切口子宫内膜异位症可根据病史、临床表现、超声检查及体格检查等做出正确诊断。手术为治疗的有效办法。
Objective: To analyze the clinical diagnosis of abdominal incision endometriosis and discuss its effective treatment. Methods: A retrospective analysis of 18 cases of abdominal incision endometriosis admitted to our hospital in recent 4 years clinical data. RESULTS: Eighteen patients were collected on a medical history, with clinical manifestations (incisional scar pain during menstruation, lesions located around the scar, tenderness, poor mobility) and assisted examination (ultrasonography showed heterogeneity Sexual mixed mass) and physical examination have made accurate preoperative diagnosis; by local surgical resection, the operation was successful, pathological biopsy showed endometrial glands and interstitial scattered in the connective tissue. Postoperative wound healing better, no cases of infection, followed up for 2 to 3 years, no recurrence of cases. Conclusion: Abdominal wall incision endometriosis can be based on history, clinical manifestations, ultrasound examination and physical examination to make the correct diagnosis. Surgery for the treatment of effective ways.