Clinically analysis of 23 patients with abdominal wall endometriosis

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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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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