不同治疗方法在剖宫产术后腹壁切口子宫内膜异位症中的治疗效果

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　　[摘要]目的 探討不同治疗方法在剖宫产术后腹壁切口子宫内膜异位症中的治疗效果。方法 选取2016年12月～2017年11月我院收治的75例剖宫产术后腹壁切口子宫内膜异位症患者作为研究对象。按治疗方式的不同将其分为观察组（35例）及对照组（40例）。观察组患者给予手术及药物治疗，对照组患者采用药物治疗。比较两组患者的治愈率、复发率以及治疗前后两组患者临床症状（包括手术切口肿块、经期肿块增大及经后肿块缩小）的恢复情况。结果 观察组患者的治愈率（100.0%）高于对照组（80.0%），复发率（2.9%）低于对照组（17.5%），差异均有统计学意义（P<0.05）。治疗前，两组患者的临床症状发生率比较，差异无统计学意义（P>0.05）;治疗后，两组患者的手术切口肿块发生率、经期肿块增大率及经后肿块缩小率均低于本组治疗前，差异有统计学意义（P<0.05）;观察组患者治疗后的手术切口肿块发生率、经期肿块增大发生率及经后肿块缩小率均低于对照组，差异有统计学意义（P<0.05）。结论 剖宫产术后腹壁切口子宫内膜异位症应用手术联合药物治疗，可提高治疗效果，降低复发率，值得推广应用。
　　[关键词]子宫内膜异位症;临床治疗;剖宫产;症状
　　[中图分类号] R719.8          [文献标识码] A          [文章编号] 1674-4721（2019）10（a）-0169-04
　　[Abstract] Objective To explore the therapeutic effects of different treatment methods in abdominal wall incision endometriosis after cesarean section. Methods A total of 75 patients with abdominal wall incision endometriosis after cesarean section admitted to our hospital from June 2017 to May 2018 were selected as research objects. According to different treatment methods， they were divided into observation group （n=35） and control group （n=40）. Patients in the observation group were given surgery and drug therapy， while patients in the control group were given drug therapy. The cure rate and recurrence rate of the two groups of patients were compared， as well as the recovery of clinical symptoms （including tumor in surgical incision， tumor enlargement during menstruation and tumor reduction after menstruation） of the two groups patients before and after treatment. Results The cure rate （100.0%） of the patients in the observation group was higher than that in the control group （80.0%）， and the recurrence rate （2.9%） was lower than that in the control group （17.5%）， and the differences were statistically significant （P<0.05）. Before treatment， there was no significant difference in the rates of clinical symptoms between the two groups （P>0.05）. After treatment， the incidence rate of surgical incision mass， the increase rate of menstrual mass and the decrease rate of post-menstrual mass in the two groups were lower than before treatment， the differences were statistically significant （P<0.05）. After treatment， the incidence of surgical incision mass， menstrual mass enlargement and postmenstrual mass reduction in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. Conclusion The application of surgery combined with drug therapy for abdominal wall incision endometriosis after cesarean section can improve the therapeutic effect and reduce the recurrence rate， which is worthy of popularization and application.
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