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[腹壁子宫内膜异位症。两例剖宫产术后继发病例报告]

[Endometriosis of the lower abdominal wall. Report of two cases secondary to cesarean section].

作者信息

Bottino G, Marinello M, Menna C, Torchio B, Vergano R

机构信息

Reparto di Ginecologia e Ostetricia, U.S.L. n. 35, Ospedale Civile di Giaveno, Torino.

出版信息

Minerva Ginecol. 1990 Jun;42(6):283-5.

PMID:2143273
Abstract

The paper describes two cases of cutaneous endometriosis in correspondence with the surgical scar following cesarean section. The cases formed part of a series of 500 abdominal operations performed during the period 1988-89, of which about 200 were cesarean sections, with a 1% frequency. In line with the hypothesis regarding the spread of endometrial tissue during surgery and with that concerning peritoneal metaplasia, the authors recommend paying special attention during the technical procedure of extracting the fetus, and performing an introflexed suture of the uterine incision and of the parietal peritoneum.

摘要

本文描述了两例与剖宫产术后手术瘢痕相关的皮肤子宫内膜异位症病例。这些病例是1988 - 1989年期间进行的500例腹部手术中的一部分,其中约200例为剖宫产,发生率为1%。根据关于手术期间子宫内膜组织扩散的假说以及关于腹膜化生的假说,作者建议在胎儿娩出的技术操作过程中要特别注意,并对子宫切口和腹膜进行内翻缝合。

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