妇产科手术切口子宫内膜异位症临床研究.docxVIP

妇产科手术切口子宫内膜异位症临床研究 石河子大学医学院第一附属医院妇产科832008 【摘要】目的：通过回顾性分析我院诊治因既往妇产科手术切口引起的子宫 内膜异位症临床疗效，对有效治疗办法进行探讨。方法：选取我院于2015年3 月一2016年7月因妇产科手术切口引起的子宫内膜异位症患者52例。患者病灶 1—6cm,单发病灶与多发病灶病例均存在。患者均有妇科手术病史，临床表现 具有一致性。对患者临床诊疗过程和随访预后情况进行回顾性分析。结果:经治 疗患者病情得到有效控制，全部患者均治愈出院且预后良好，无复发案例，治疗 有效率为100%o结论:针对既往妇产科手术切口导致子宫内膜异位症患者的具体 情况、现病症状、辅助检查等给予药物联合手术的阶段性治疗，使临床治愈率得 到显著提高，复发率明显降低。 关键词：子宫内膜异位症；妇产科手术切口；既往手术史；临床观察；回顾 性探讨 Department of Obstetrics and gynecology surgical incision endometriosis in clinical research [Abstract] Objective: through the retrospective analysis of the clinical curative effect of endometriosis in our hospital due to previous incision gynecologic surgery, to explore the effective treatment method Methods: in our hospital from March 2015 to July 2016, 52 patients with endometriosis caused by gynecologic surgery incision patients Patients with 1 lesions 6cm, single lesion and multiple lesions in case there are The patie nts had gyn ecological surgical history, clin ical man ifestatio ns consistent The clinical diagnosis and treatment and prognosis were retrospectively analysis Results: the effective control of the patients, all the patients were cured and the prog nosis is good, no recurre nee case, the effective rate is 100% Con clusi on: according to the previous incision in gynecologic surgery leads to stage treatment of specific circumstances, patients with endometriosis are disease symptoms, auxiliary examination given drug and surgery, the clinical cure rate has been significantly improved, significantly reduced the recurrenee rate of. Keywords: Endometriosis; gynecologic surgery incision; operat:ion history; clinical observation; retrospective research 子宫内膜异位症(endometriosis)是一种多发生于生育年龄女性，严重影响 生育与生活的常见妇科疾病。临床普遍认同的发病机制是多种原因导致的子宫腔 中活性增生的内膜细胞异位种植于子宫腔外的组织、器官形成异位内膜，引起患 者局部结节疼痛、月经异常伴疼痛、下腹或盆腔疼痛等病症⑴。 我院针对因既往妇产科手术切口导致子宫内膜异位症患者采用物联合手术的阶 段性治疗方法，取得显著疗效，现冋顾性分析报道如下： 1?资料与方法： 1.1 一般资料：选取我院于2015年3月一2016年10月因既往妇产科手术切 口引起的子宫内膜异位症患者，52例。其中患者年龄28-47岁，平均 (35.53plusmn;6.72)岁，从上次手术至此次就诊间隔时间6—9年,病程平