Analysis of Clinical Factors Related to Abdominal Endometriosis after Cesarean Section in 134 Cases

浩然 陈
In: Advances in Clinical Medicine · 2025 · vol. 15(03) , pp. 29–34 · doi:10.12677/acm.2025.153582 · W4408134837
article OA: closed CC0
Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-07-29 ⓘ

This study retrospectively analyzed 134 cesarean section patients with abdominal wall endometriosis, classifying them by lesion number and depth, and comparing clinical features and CA125 levels.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-20 · read from full text ⓘ

This retrospective study analyzed clinical data from 134 patients with histologically confirmed abdominal wall endometriosis following cesarean section to identify associated risk factors and lesion characteristics. The researchers categorized lesions by invasion depth into subcutaneous, sheath, and peritoneal types, and by quantity into single or multiple forms, noting that the sheath type was the most prevalent at 66%. Key findings indicated that peritoneal-type lesions were significantly larger, associated with higher CA125 levels, and required longer surgeries with greater blood loss compared to other types, while multiple-lesion cases also resulted in increased operative time and bleeding. This paper is centrally about endometriosis — specifically the clinical presentation and surgical outcomes of abdominal wall endometriosis occurring as a complication of prior cesarean delivery.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 5,668 characters · extracted from oa-doi-fallback · click to expand
134例剖宫产术后腹壁子宫内膜异位症相关临床因素分析 Analysis of Clinical Factors Related to Abdominal Endometriosis after Cesarean Section in 134 Cases Analysis of Clinical Factors Related to Abdominal Endometriosis after Cesarean Section in 134 Cases DOI: 10.12677/acm.2025.153582, PDF, 被引量 作者: 陈浩然, 崔金秀, 徐 彦, 顾振鹏*：滨州医学院附属医院妇产科，山东 滨州 关键词: 腹壁子宫内膜异位症；分型；临床特点；CA125；Abdominal Endometriosis； Typing； Clinical Characteristics； CA125 作者: 陈浩然, 崔金秀, 徐 彦, 顾振鹏*：滨州医学院附属医院妇产科，山东 滨州 关键词: 腹壁子宫内膜异位症；分型；临床特点；CA125；Abdominal Endometriosis； Typing； Clinical Characteristics； CA125 摘要: 目的：研究剖宫产术后腹壁子宫内膜异位症(AWE)的临床特征，以了解其相关特点。方法：对滨州医学院附属医院在2018年1月至2024年5月期间收治的134例经组织病理证实为剖宫产术后腹壁子宫内膜异位症患者的临床资料进行回顾性分析。根据腹壁子宫内膜异位症病灶的侵袭深度及范围，将其分为皮下脂肪型、鞘膜型和腹膜型三种类型。按照内异症病灶数量分为单发型、多发型。比较腹壁子宫内膜异位症各个分型之间的临床特点及差异。结果：根据术中探查内异症病灶数分型，单发型122例(91%)，多发型12例(9%)。与单发型相比，多发型AWE的手术时间长(P < 0.01)、手术出血量多(P < 0.01)。在手术中探查内异症病灶的深度分型中，发现有19例(14%)属于皮下脂肪型，89例(66%)属于鞘膜型，26例(20%)属于腹膜型。与皮下脂肪型和鞘膜型相比，腹膜型的患者怀孕次数较多(P = 0.035)，手术时间更长(P < 0.01)，并且手术出血量也较大(P < 0.01)，病灶最大径线大(P < 0.01)及CA125水平高(P < 0.01)。结论：3种AWE类型中，鞘膜型发生率最高。腹膜型病灶最大径线大(P < 0.01)及CA125水平高(P < 0.01)。 Abstract: Objective: To investigate the clinical characteristics of abdominal wall endometriosis (AWE) after cesarean section in order to understand its related characteristics. Methods: The clinical data of 134 patients with abdominal wall endometriosis confirmed by histopathology admitted to the Affiliated Hospital of Binzhou Medical University from January 2018 to May 2024 were retrospectively analyzed. According to the invasion depth and scope of abdominal endometriosis, the lesions were classified into subcutaneous lipomatosis, vaginalis, and peritoneum. Based on the number of endometriosis lesions, it can be divided into single types and multiple types. To compare the clinical features and differences among different types of abdominal endometriosis. Results: According to the number of intraoperative investigations, there were 122 cases (91%) of single type and 12 cases (9%) of multiple type. Compared with single-style AWE, multi-style AWE had longer operation time (P < 0.01) and more surgical bleeding (P < 0.01). In the depth classification of intraocular abnormalities, 19 cases (14%) were subcutaneous lipomatosis, 89 cases (66%) were sheath type, and 26 cases (20%) were peritoneal type. Compared with subcutaneous lipidosis and sheath type, peritoneal type patients had more pregnancies (P = 0.035), longer operation time (P < 0.01), and greater surgical bleeding (P < 0.01), larger lesion diameter (P < 0.01) and higher CA125 level (P < 0.01). Conclusion: Among the 3 AWE types, the sheath type has the highest incidence. The maximum diameter of peritoneal lesions was large (P < 0.01), and the level of CA125 was high (P < 0.01). 文章引用：陈浩然, 崔金秀, 徐彦, 顾振鹏. 134例剖宫产术后腹壁子宫内膜异位症相关临床因素分析[J]. 临床医学进展, 2025, 15(3): 29-34. https://doi.org/10.12677/acm.2025.153582 | [1] | 张春淼. 剖宫产手术切口子宫内膜异位症的临床分析[D]: [硕士学位论文]. 昆明: 昆明医科大学, 2022. | | [2] | 王继东, 屈庆喜, 张师前. 子宫内膜异位症相关卵巢癌的诊断及治疗山东专家共识(2022) [J]. 山东医药, 2022, 62(18): 1-6. | | [3] | 黄佳明, 姚书忠. 剖宫产手术与子宫内膜异位症[J]. 中国实用妇科与产科杂志, 2019, 35(2): 180-183. | | [4] | Cocco, G., Delli Pizzi, A., Scioscia, M., Ricci, V., Boccatonda, A., Candeloro, M., et al. (2021) Ultrasound Imaging of Abdominal Wall Endometriosis: A Pictorial Review. Diagnostics, 11, 609. [Google Scholar] [CrossRef] [PubMed] | | [5] | 陈亚慧. 腹壁子宫内膜异位症的病例特点及复发相关因素分析[D]: [硕士学位论文]. 济宁: 济宁医学院, 2023. | | [6] | 臧芹芹. 子宫内膜异位症手术特点及359例腹壁、会阴内异症临床分析[D]: [硕士学位论文]. 济南: 山东大学, 2021. | | [7] | 范阳密. 5 cm以内腹壁子宫内膜异位症手术与术后联合GnRH-a药物的结局分析[D]: [硕士学位论文]. 郑州: 郑州大学, 2022. | | [8] | Ranjan, R.K. (2021) Spontaneous Abdominal Wall Endometrioma: A Case Report. International Journal of Surgery Case Reports, 78, 180-183. | | [9] | (2020) Post-Cesarean Section Abdominal Wall Endometrioma. Cureus, 12, e10088. | | [10] | Zhang, N., Robrahn, S., Thornburgh, K.R., Moon, J., Ather, M.K., Boney, C.P., et al. (2024) Abdominal Wall Endometriosis: A Case Report and Literature Review of Pfannenstiel Incision Endometrioma. Cureus, 16, e66223. [Google Scholar] [CrossRef] [PubMed] | | [11] | Poudel, D., Acharya, K., Dahal, S. and Adhikari, A. (2023) A Case of Scar Endometriosis in Cesarean Scar: A Rare Case Report. International Journal of Surgery Case Reports, 102, Article ID: 107852. [Google Scholar] [CrossRef] [PubMed] | | [12] | 赵学英, 郎景和, 冷金花. 腹壁子宫内膜异位症的临床特点及复发相关因素分析[J]. 中华妇产科杂志, 2004(2): 28-31. | | [13] | 霍飞霞, 欧慧慧, 纪新强, 等. 剖宫产术后腹壁子宫内膜异位症174例临床分析[J]. 实用妇产科杂志, 2018, 34(7): 523-526. | | [14] | Chiara, B., Daniel, C., Daniela, C.S.D., et al. (2022) Abdominal Wall Endometriosis: Report of 83 Cases. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 159, 530-536. | | [15] | 陈亚慧, 王亚楠, 王琳, 等. 501例腹壁子宫内膜异位症相关临床因素分析[J]. 现代妇产科进展, 2023, 32(10): 768-771+775. | | [16] | 王正磊, 吴昊, 毛定飚. CT对腹壁子宫内膜异位症的诊断价值[J]. 临床放射学杂志, 2012, 31(4): 535-537. | | [17] | 徐焱, 李彩霞, 时园园. 剖宫产术后腹壁子宫内膜异位症MRI表现[J]. 中国介入影像与治疗学, 2021, 18(12): 731-734. | | [18] | Gruber, T.M., Lange, K., Ebeling, G.S., Henrich, W. and Mechsner, S. (2024) Scar Endometriosis, a Form of Abdominal Wall Endometriosis—A Neglected Obstetrical Complication? Archives of Gynecology and Obstetrics. [Google Scholar] [CrossRef] [PubMed] | | [19] | 汪沙, 段华. 高强度聚焦超声消融与手术切除治疗腹壁子宫内膜异位症的疗效对比研究[J]. 国际妇产科学杂志, 2023, 50(3): 261-265. | | [20] | 林振江, 袁利, 刘颂, 等. 高强度聚焦超声消融术与外科手术治疗剖宫产术后腹壁子宫内膜异位症的疗效比较[J]. 实用妇产科杂志, 2020, 36(7): 520-522. | | [21] | Sandra, M., Nicola, P., Patrick, P., et al. (2019) Abdominal Wall Endometriosis: An 11-Year Retrospective Observational Cohort Study. European Journal of Obstetrics & Gynecology and Reproductive Biology: X, 2019, Article ID: 4100096. |

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (7)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
unpaywall
last seen: 2026-09-15T06:33:26.365676+00:00
License: CC0 · commercial use OK