中国医学创新2023，Vol.20Issue(36)：119-123,5.DOI:10.3969/j.issn.1674-4985.2023.36.028
101例腹壁子宫内膜异位症临床特点与诊治分析
Clinical Characteristics,Diagnosis and Treatment Analysis of 101 Cases of Abdominal Wall Endometriosis
摘要
Abstract
Objective:To analyze the clinical characteristics,diagnosis and treatment situation of 101 patients with abdominal wall endometriosis(AWE).Method:The case data of 101 AWE patients admitted to the Third Affiliated Hospital of Zhengzhou University from June 2017 to December 2022 were retrospectively analyzed,they were divided into the subcutaneous group and the muscle group according to the deepest infiltration site of the lesion.The age of onset,clinical symptoms,incubation period,course of disease,number of cesarean section,carbohydrate antigen 125(CA125)value,prolactin(PRL)value,vaginal microecology,treatment method,recurrence rate and so on in two groups were analyzed.Result:There were no significant differences in age,number of cesarean sections,latency and course of disease between the two groups(P>0.05);there were significant differences in lesion diameter,intraoperative blood loss,operative time and ultrasound blood flow situation between the two groups(P<0.05).The difference in serum CA125 level between the two groups was statistically significant(P<0.05).The difference in serum PRL level between the two groups was not statistically significant(P>0.05).A total of 85 patients underwent vaginal microecological analysis before surgery,of which 22(25.88%,22/85)had microecological imbalance.All 101 patients received surgical treatment,and 87 patients were followed up successfully after surgery,with a follow-up time of 3 to 60 months.The total recurrence rate was 3.45%.Conclusion:AWE is often secondary to post-caesarean section,and the main symptoms are nodule around scar in abdominal wall and/or periodic pain.Ultrasound examination is helpful for the diagnosis of AWE,surgery is the main treatment for AWE.关键词
腹壁子宫内膜异位症/临床特点/临床分型/剖宫产/阴道微生态Key words
Abdominal wall endometriosis/Clinical characteristics/Clinical classification/Caesarean section/Vaginal microecology引用本文复制引用
冯晓倩,张钦山,赵晓阳,刘弘扬,刘静,封全灵..101例腹壁子宫内膜异位症临床特点与诊治分析[J].中国医学创新,2023,20(36):119-123,5.基金项目
河南省自然科学基金(232300421286) （232300421286）
