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剖宫产瘢痕子宫内膜异位症:一种日益常见的罕见手术并发症?病例报告与文献综述

Cesarean Scar Endometriosis: An Uncommon Surgical Complication on the Rise? Case Report and Literature Review.

作者信息

Khachani Imane, Filali Adib Abdelhai, Bezad Rachid

机构信息

Centre National de Santé Reproductrice, 1 rue Soekarno, 10100 Rabat, Morocco.

出版信息

Case Rep Obstet Gynecol. 2017;2017:8062924. doi: 10.1155/2017/8062924. Epub 2017 Feb 23.

DOI:10.1155/2017/8062924
PMID:28326210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5343249/
Abstract

Endometriosis is defined by the presence and growth of ectopic functional endometrial tissue outside the uterus. Scar endometriosis has been described following obstetrical and gynecological surgery. It is a rare condition, though probably on the rise, due to the considerable increase of cesarean sections performed worldwide. Its physiopathology is complex; its symptomatology is rich and diverse but thorough clinical examination along with ultrasound imaging and potentially pretherapeutic cytologic evaluation are usually efficient in diagnosing the condition. Treatment is mostly surgical. We report the case of a cesarean section scar endometriosis, managed at a tertiary level center and emphasize the diagnosis and treatment options.

摘要

子宫内膜异位症是由子宫外异位功能性子宫内膜组织的存在和生长所定义的。瘢痕子宫内膜异位症已在妇产科手术后被描述。它是一种罕见的病症,尽管可能呈上升趋势,这是由于全球范围内剖宫产手术数量的显著增加。其病理生理学复杂;其症状丰富多样,但全面的临床检查以及超声成像和潜在的治疗前细胞学评估通常对诊断该病症有效。治疗主要是手术治疗。我们报告一例在三级中心处理的剖宫产瘢痕子宫内膜异位症病例,并强调诊断和治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/6f162fad1029/CRIOG2017-8062924.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/38f11aca0299/CRIOG2017-8062924.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/48a3803d28ab/CRIOG2017-8062924.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/7e8eabf70c06/CRIOG2017-8062924.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/6f162fad1029/CRIOG2017-8062924.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/38f11aca0299/CRIOG2017-8062924.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/48a3803d28ab/CRIOG2017-8062924.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/7e8eabf70c06/CRIOG2017-8062924.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405d/5343249/6f162fad1029/CRIOG2017-8062924.004.jpg

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Clin Exp Obstet Gynecol. 2016;43(3):379-83.
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Surgical Treatment of Scar Endometriosis Following Cesarean Section, a Series of 12 Cases.剖宫产术后瘢痕子宫内膜异位症的手术治疗:12例系列报道
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Parietal Mass: Two Case Reports of Rare Cesarean Scar Endometriosis.壁层肿物:罕见剖宫产瘢痕子宫内膜异位症的两例报告
Cureus. 2020 Feb 8;12(2):e6918. doi: 10.7759/cureus.6918.
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Use of a Mouse Model of Experimentally Induced Endometriosis to Evaluate and Compare the Effects of Bisphenol A and Bisphenol AF Exposure.利用实验性诱导子宫内膜异位症的小鼠模型评估和比较双酚 A 和双酚 AF 暴露的影响。
Environ Health Perspect. 2018 Dec;126(12):127004. doi: 10.1289/EHP3802.
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