剖宫产手术后腹壁切口子宫内膜异位症的临床诊断与治疗方法的选择

摘要

Objective To study the clinical diagnosis and the choice of treatment in endometriosis of the abdominal wall incision after cesarean section.Methods Selected 60 cases of endometriosis patients of the abdominal wall incision after cesarean section of our hospital from Jan, 2011 to Feb, 2012, made them into experimental group and control group.The control group was given orally gestrinone, the experimental group was given surgical to removal the nidus.Then Compare the clinical efficacy between two groups.Results 30 patients were cured in the experimental group and cure rate was 100%, 16 patients were cured in the control group and the cure rate was 53.33%.Followed up for 2 years after the treatment, there was no recurrence in the experimental group.A total of 8 cases were recurrence in the control group and the recurrence rate was 26.67%. There were significant differences both in the cure rate and the recurrence rate between the two groups ( P<0. 05).Conclusions Clinical diagnosis for endometriosis of the abdominal wall incision after cesarean section should be on the comprehensive analysis of the patient history and clinical manifestations.Surgical treatment is the first treatment choice, significant clinical curative effect and low recurrence rate, should be widely applied in clinic.%目的：探究剖宫产手术后腹壁切口子宫内膜异位症的临床诊断与治疗方法的选择。方法选取我院2011年1月至2012年2月收治的剖宫产手术后腹壁切口子宫内膜异位症患者60例进行研究，随机分为实验组和对照组。实验组采用手术切除病灶进行治疗，对照组采用口服孕三烯酮进行治疗，观察比较两组患者的临床疗效。结果实验组共治愈30人，治愈率为100％，对照组共治愈16人，治愈率为53．33％。治疗后随访2年，实验组患者无复发，对照组共有8例复发，复发率为26．67％。经比较，两组患者在治愈率以及复发率上差异显著，具有统计学意义（P＜0．05）。结论剖宫产手术后腹壁切口子宫内膜异位症的临床诊断应根据患者既往史以及临床表现综合分析，治疗上首选手术治疗，临床疗效显著并且复发率低，应在临床广泛推广。