Objective: To study clinical characteristics, treatment and prevention measures of endometriosis at abdominal wall occurring after cesarean section. Method: The 21 cases datas from Jun. 2005 to Mar. 2010 were retrospectively analysed. Result: Twenty-one patients abdominal mass were resected, intraoperative found endometriotic nodules, There's more at hypodermic, resection lesions accounted for 80.9％.The naked eye view of purplish blue, dark tan nodules, predominantly visible dated clot and/or coffee viseous liquid, by pathological examination after diagnosis of endometrial glands epithelial gland or sample resuits. All of the patients the incision were primary healing. There's no cases relapse after 3 months therapy with drug. All of the patients were obtained for, none cases incision scar bump and menstrual eorrelation pain. Conclusion: There's correlation of cesarean section and abdominal incision endometriosis closely,strictly grasp cesarean section surgical indications essentially .decrease and prevent abdominal incision endometriosis.%目的:探讨剖宫产后腹壁切口处发生子宫内膜异位症的临床特点、治疗方法及防治措施.方法:对我院2005年6月至2010年3月收治的21例剖宫产术后于腹壁切口处发生子宫内膜异位症的患者临床资料进行回顾性分析.结果:21例患者腹壁肿块均经手术切除,术中发现内膜异位结节多见于皮下,占80.9%,切除病灶肉眼观为紫蓝色、深褐色结节,其内可见陈旧性血块和/或咖啡色粘稠液体,后经病理检查确诊为子宫内膜上皮腺体或腺体样结果.所有患者手术切口均一期愈合出院.术后服药3个月后复查无1例出现复发.所有患者均获得随访,无1例出现切口瘢痕肿块及月经相关性疼痛.结论:剖宫产术与腹壁切口子宫内膜异位症密切相关,严格把握剖宫产术手术指征能从根本上减少和预防腹壁切口子宫内膜异位症的发生.
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