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本文旨在探讨剖宫产术后腹壁子宫内膜异位症的诊断、治疗方法,总结降低手术并发症的经验,采用对2003年7月至2013年1月本院收治切口子宫内膜异位症的产妇18例进行回顾性分析的方法,得出腹壁子宫内膜异位症发生于剖宫产之后,会阴侧切口子宫内膜异位症发生在产后,表现为切口部位出现疼痛肿块并随月经周期变化,有较为典型的病史及临床表现。因此剖宫产术中采取正确的预防措施是防治本病的关键,手术操作要精细,术中要注意腹壁切口的保护,术后要清洗伤口,预防发生腹壁切口子宫内膜异位症。
This article aims to explore the diagnosis and treatment of abdominal wall endometriosis after cesarean section, summarize the experience of reducing the complications of surgery, using the July 2003 to January 2013 hospital incision endometriosis 18 cases of maternal disease retrospective analysis of the method, concluded that abdominal wall endometriosis occurred after cesarean section, episiotomy endometriosis occurred in the postpartum period, the performance of the incision site pain mass and with Menstrual cycle changes, there is a more typical history and clinical manifestations. Therefore, the correct preventive measures taken in cesarean section is the key to prevention and treatment of this disease, surgical operation should be fine, surgery should pay attention to the protection of abdominal incision, postoperative wounds should be cleaned to prevent the occurrence of abdominal incision endometriosis.