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目的探讨手术结合术后口服米非司酮治疗腹壁子宫内膜异位症的临床疗效。方法 37例腹壁子宫内膜异位患者,全部行手术切除异位子宫内膜,术后口服米非司酮。结果 35例患者手术切除病灶后痊愈,2例复发,再次手术切除后痊愈。结论腹壁子宫内膜异位症好发于有剖宫手术史的育龄女性,手术切除局部病灶后再口服米非司酮疗效满意,可取得较好的药物经济效益,可在基层医院推广使用。
Objective To investigate the clinical efficacy of postoperative oral mifepristone in the treatment of abdominal wall endometriosis. Methods 37 cases of patients with abdominal wall endometriosis, all underwent surgical removal of ectopic endometrium, postoperative oral mifepristone. Results 35 cases of patients recovered after surgical removal of the lesion, 2 cases of recurrence, again cured after surgery. Conclusions Abdominal wall endometriosis occurs mainly in women of childbearing age who have a history of cesarean section surgery. After the surgical resection of local lesion, oral mifepristone is satisfactory, and good economic benefits can be obtained. It can be used in primary hospitals.