Khamechian Tahere, Alizargar Javad, Mazoochi Tahere
Anatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, I.R Iran.
Student Research Committee, Kashan University of Medical Sciences, Kashan, I.R. Iran.
BMC Womens Health. 2014 Dec 5;14:151. doi: 10.1186/s12905-014-0151-4.
Endometriosis is a disorder in which an ectopic endometrial tissue grows outside the uterine cavity. The ectopic endometrium embedded in the subcutaneous fatty layer and the muscles of abdominal wall is called as abdominal wall endometriosis (AWE). AWE is a rare condition; however, it is usually known to develop along with previous surgical scars. Caesarean section and hysterectomy are considered to be commonly associated with the development of AWE.
We evaluated the data of the patients who underwent AWE surgery between March 2009 and March 2014.
The mean age of the patients was 32.5 years. We found a previous history of caesarean section in all of the patients. The most frequent symptoms of the patients were abdominal mass sensation and abdominal pain. Invasion of endometriosis to fat layer, fascia, muscular layer, and peritoneum was recorded. Three masses were located within the scar regions.
We can conclude that there is a high prevalence of caesarean sections among the women with AWE.
子宫内膜异位症是一种异位子宫内膜组织在子宫腔外生长的疾病。嵌入皮下脂肪层和腹壁肌肉的异位内膜被称为腹壁子宫内膜异位症（AWE）。AWE是一种罕见病症；然而，通常已知其会伴随既往手术瘢痕发生。剖宫产和子宫切除术被认为与AWE的发生密切相关。
我们评估了2009年3月至2014年3月期间接受AWE手术的患者的数据。
患者的平均年龄为32.5岁。我们发现所有患者均有剖宫产史。患者最常见的症状是腹部肿块感和腹痛。记录到子宫内膜异位症侵犯脂肪层、筋膜、肌肉层和腹膜。三个肿块位于瘢痕区域内。
我们可以得出结论，AWE女性患者中剖宫产的发生率很高。
