Zhu Z, Al-Beiti M A M, Tang L, Liu X, Lu X
Obstetrics and Gynecology Hospital at Fudan University, Shanghai, China.
J Obstet Gynaecol. 2008 Oct;28(7):742-5. doi: 10.1080/01443610802463744.
Medical records of 32 women with abdominal incision endometriosis who underwent surgical treatment in the Obstetrics and Gynaecology Hospital at Fudan University between September 1999 and March 2006 were reviewed retrospectively. All cases concerning the diagnosis of endometriosis were confirmed by two gynaecological pathologists. The median age was 32 years (range from 25 to 45). A total of 31 patients had a history of caesarean section, and one case underwent ovarian endometrioid cystectomy. All abdominal incision endometriosis presented with a mass in the abdominal scar. Among them, there were 30 patients who complained of cyclical pain during menses. All of the 32 cases underwent surgical treatment and had follow-up from 10 months to 6 years; there was no recurrence of endometriosis in 31 cases. Abdominal incision endometriosis is rare in women and most cases present following caesarean section. It is suggested that during caesarean section, precautions need to be taken to avoid transplantation of endometrium into the abdominal incision. Surgical treatment is recommended to excise the lesion completely. The frozen section is performed during the operation due to the possibility of malignancy in abdomen incision endometriosis.
回顾性分析了1999年9月至2006年3月间在复旦大学附属妇产科医院接受手术治疗的32例腹壁切口子宫内膜异位症患者的病历。所有子宫内膜异位症的诊断病例均由两名妇科病理学家确诊。中位年龄为32岁（范围25至45岁）。共有31例患者有剖宫产史，1例接受了卵巢子宫内膜样囊肿切除术。所有腹壁切口子宫内膜异位症均表现为腹部瘢痕处有肿块。其中，30例患者主诉月经期有周期性疼痛。32例均接受了手术治疗，并进行了10个月至6年的随访；31例无子宫内膜异位症复发。腹壁切口子宫内膜异位症在女性中罕见，大多数病例发生在剖宫产术后。建议剖宫产时需采取预防措施，避免子宫内膜移植到腹壁切口中。推荐手术治疗以彻底切除病灶。由于腹壁切口子宫内膜异位症有恶变的可能，术中需行冰冻切片检查。
