会阴、腹壁子宫内膜异位症13例临床分析

目的:探讨会阴、腹壁子宫内膜异位症的发生原因及治疗。方法:回顾性分析13例会阴、腹壁子宫内膜异位症的临床资料进行总结。结果:11例会阴子宫内膜异位症(占84.61%) ,1例为腹壁剖宫产切口子宫内膜异位症(占7.69%) ,1例为无创伤史的左侧腹直肌前鞘内膜异位症(占7.69%)。最早发病者为产后7a,最晚为产后10a,平均6.2a。12例在切口处有痛性结节 ,大小与月经周期有关 ,仅有1例无任何临床表现。结论:会阴、腹壁伤口子宫内膜异位症的发生重在预防 ,应尽量避免宫腔操作引起的子宫内膜医原性播散。治疗以手术切除异位病灶为主

Clinical Analysis of Endometriosis of Abdominal Wall and Perineum on 13 cases

Objective:To explore the causes and treatment of endometriosis of abdominal wall and perineum.Methods:TO review analysis on 13 cases of endometriosis of abdominal wall and perineum.Results:Among 13 cases,11 are endometriosis of perineum(84.62%).One is endometriosis of celiohysteromy section of abdominal wall(7.69%).One is endometriosos of protheca of musculus rectus on the left-side abdomen without injuries history(7.69%).The earliest case took place in 7 years after giving birth and the latest in 10 years,with an average of 6.2 years.12cases have algoknobs at the cut site.The size of knob is related to menstrual cycle.Only one case without any clinical appearances.Conclusions:It is very important to prevent endometriosis of abdominal wall and perineum,try to avoid the iatrogenic dissmination of endometrium caused by unterine cavity operation.Treatmend shoud be focus on operation to remove the ectopic focus.