Clinically analysis of 23 patients with abdominal wall endometriosis

谢增霞, 谢梅青, 金星
In: Guoji yiyao weisheng daobao · 2008 · vol. 14(16) , pp. 41–44 · doi:10.3760/cma.j.issn.1007-1245.2008.16.014 · W3031511965
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This study analyzed 23 patients with abdominal wall endometriosis, finding it common in women with surgical histories and often located in the subcutaneous fat, with surgical excision being an effective treatment.

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Abstract

目的 探讨腹壁子宫内膜异位症的临床特点及诊治预后.方法 分析1987年1月～2008年3月入住我院的腹壁子宫内膜异位患者的临床特点及随访资料.结果 23例患者平均34.5岁,22例有剖宫产史,1例有腹腔镜下子宫全切术史;18例病灶位于皮下脂肪层,1例病灶位于肌层,3例病灶位于筋膜下至腹膜外脂肪,1例从皮下脂肪层深达腹膜并同膀胱粘连;23例患者均表现与月经相关的局部疼痛、包块、或皮下出血;全部患者均均行手术切除病灶,术后无复发.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,病灶多位于皮下脂肪层内;表现与月经相关的症状及体征,局部病灶切除是治疗的主要方法。

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endometriosis

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