Clinical significance of abdominal wall endometriosis after Cesarean section diagnosed by ultrasound

doi:10.3877/cma.j.issn.1674-392X.2020.05.018

Abstract

Abstract:

Objective

To explore the ultrasound diagnostic value of abdominal wall endometriosis (AWE) after Cesarean section.

Methods

The clinical data of 42 patients with suspected AWE in Ma'anshan maternal and child health hospital from March 2017 to December 2019 were retrospectively analyzed, and the characteristics and diagnostic results of ultrasound examinations were observed and summarized.

Results

Of 42 patients, 40 cases were confirmed pathologically. The diagnostic accuracy of color Doppler ultrasound for AWE was 95.24%. AWE were characterized by hypoechoic, heterogeneous and uneven solid in abdominal wall subcutaneous fat layer or in muscle layer; lesions were located in subcutaneous fat layer in 23 cases, rectus abdominis in 4 cases, abdominal subcutaneous in 9 cases, peritoneum in 4 cases, the mass boundaries were blurred and the morphology was different.

Conclusions

Ultrasound can effectively diagnose AWE and provide a basis for clinical prevention and control of the disease.

Key words: Endometriosis, Cesarean section, Ultrasound

Li Jiang, Qun Ge. Clinical significance of abdominal wall endometriosis after Cesarean section diagnosed by ultrasound[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(05): 536-538.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2020.05.018

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References 17

[1]	韩肖彤，郭红燕，孔东丽, 等. 子宫内膜异位症诊断延迟的原因及影响因素探讨[J]. 中华妇产科杂志, 2018, 53(2): 92-98.
[2]	焦海宁，朱岚，吴步初, 等. 子宫内膜异位症患者腹腔镜术后生殖预后的影响因素分析[J]. 中国医师杂志, 2018, 20(12): 1807-1809, 1813.
[3]	邱晓月. 剖宫产术后腹壁切口子宫内膜异位症的临床分析与治疗[J]. 中国社区医师, 2019, 35(17): 51-52.
[4]	吴珍珍，郭钰珍. 腹壁子宫内膜异位症疾病特征Meta分析[J]. 中国实用妇科与产科杂志, 2014, 30(10): 802-806.
[5]	中国医师协会妇产科医师分会子宫内膜异位症专业委员会，中华医学会妇产科学分会子宫内膜异位症协作组. 子宫内膜异位症长期管理中国专家共识[J]. 中华妇产科杂志, 2018, 53(12): 836-841.
[6]	陈小燕，吴兴妹，任晓晓. 剖宫产后腹壁瘢痕子宫内膜异位症的超声特征分析[J]. 医学影像学杂志, 2015, 25(2): 368-370.
[7]	陈晓琦，洛若愚，皮洁, 等. 腹壁子宫内膜异位症的研究进展[J]. 中国性科学, 2016, 25(10): 49-52.
[8]	Petrosellini C, Abdalla S, Oke T. The many guises of endometriosis: giant abdominal wall endometriosis masquerading as an incisional hernia[J]. Int J Fertil St, 2018, 11(4): 321-325.
[9]	邓伟，张英霞. 超声引导下射频消融治疗腹壁切口子宫内膜异位症疗效的探讨[J]. 中国临床医学影像杂志, 2019, 30(4): 67-69.
[10]	沙依兰古丽·胡马尔汗，古兰·托合提木拉提，叶尔努尔. 剖宫产术后腹壁切口子宫内膜异位症的临床分析并文献复习[J]. 中国临床医生杂志, 2015, 12(5): 27-29.
[11]	Andolf E, Thorsell M, Källén K. Caesarean section and risk for endometriosis: a prospective cohort study of Swedish registries[J]. BJOG, 2013, 120(9): 1061-1065.
[12]	陈四华，甘伦胜，曾桂. 超声在诊断腹壁肿块中的应用[J]. 医学信息, 2013, 26(3): 282-283.
[13]	赵冬丽. 彩色多普勒超声对腹壁切口处子宫内膜异位症的诊断价值[J]. 山东大学学报(医学版), 2014, 52(z1): 149, 224.
[14]	温海群，梁凤伟，严富良, 等. 超声诊断剖宫产术后腹壁切口子宫内膜异位症价值[J]. 中华实用诊断与治疗杂志, 2014, 28(4): 367-368.
[15]	孙健，张雪梅，赵颉. 彩色多普勒超声对剖宫产腹壁子宫内膜异位症的诊断价值[J]. 安徽医学, 2017, 38(1): 13-17.
[16]	陈松旺，黄岩，孟凡荣, 等. 超声引导植入~(125)I放射性粒子治疗腹壁转移性肿瘤[J]. 实用医学杂志, 2010, 26(4): 617-618.
[17]	刘皎然. 超声诊断腹主动脉壁间血肿1例[J]. 临床超声医学杂志, 2015, 17(5): 332.

病灶部位	例(%)	参数
脂肪层	23(57.5)	16 mm×12 mm~34 mm×20 mm
腹直肌	4(10.0)	15 mm×10 mm~36 mm×18 mm
腹壁皮下	9(22.5)	21 mm×14 mm~38 mm×24 mm
腹膜	4(10.0)	20 mm×12 mm~29 mm×17 mm

病灶部位	例(%)	参数
脂肪层	23(57.5)	16 mm×12 mm~34 mm×20 mm
腹直肌	4(10.0)	15 mm×10 mm~36 mm×18 mm
腹壁皮下	9(22.5)	21 mm×14 mm~38 mm×24 mm
腹膜	4(10.0)	20 mm×12 mm~29 mm×17 mm

血流信号特征	例(%)	峰值流速(m/s,±s)	阻力指数(±s)
肿块内、周边无明显信号	26(65.0)	15.30±2.05	0.67±0.06
肿块周边星点状信号	9(22.5)	10.33±3.51	0.71±0.11
肿块周边短线状信号	5(12.5)	7.40±2.28	0.76±0.08

血流信号特征	例(%)	峰值流速(m/s,±s)	阻力指数(±s)
肿块内、周边无明显信号	26(65.0)	15.30±2.05	0.67±0.06
肿块周边星点状信号	9(22.5)	10.33±3.51	0.71±0.11
肿块周边短线状信号	5(12.5)	7.40±2.28	0.76±0.08

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