Clinical analysis of 335 cases of cesarean scar endometriosis
10.3969/j.issn.1671-8348.2024.11.002
- VernacularTitle:335例剖宫产切口部位子宫内膜异位症的临床分析
- Author:
Yan CUI
1
;
Xianwei CUI
;
Lan LIU
Author Information
1. 南京医科大学附属妇产医院 妇产科,南京 210004
- Keywords:
endometriosis;
cesarean section;
clinical typing;
diagnosis;
treatment
- From:
Chongqing Medicine
2024;53(11):1610-1615
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics and typing of cesarean scar endometriosis (CSE).Methods The clinical data of 335 cases of patients with CSE admitted to this hospital from January 2016 to June 2022 were retrospectively analyzed.The correlation between the maximum diameter of the le-sions and other clinical indicators was analyzed,and the clinical characteristics were compared among the pa-tients with different subtypes of lesions.Results The mean age of onset in 335 patients was (30.2±4.2) years,and the incubation period ranged from 1 month to 15 years,with a mean of (35.7±29.3) months.A to-tal of 328 patients received surgical treatment,and 48 patients (14.6％) had two or more previous cesarean sections.The age of onset and maximum diameter of the lesions in patients had two or more previous cesarean sections were higher than those in patients had one previous cesarean section,and the difference was statisti-cally significant (P<0.05).The patients were divided into 26 cases of subcutaneous type,271 cases of sheath type,and 31 cases of peritoneal type according to the depth of lesion invasion.The maximum diameters of the lesions were the peritoneal type>sheath type>subcutaneous type,and the differences were statistically sig-nificant (P<0.05).The serum level of CA125,amount of intraoperative blood loss,and proportions of pa-tients using drainage tubes and patches in the peritoneal type were significantly higher than those in the sub-cutaneous type and sheath type (P<0.05).The maximum diameter of the lesions was positively correlated with gravidity,cesarean section frequency,course of disease,amount of intraoperative blood loss,depth of lesion in-vasion,and proportions of patients using drainage tubes and patches (P<0.05).Conclusion The cesarean section frequency influences the lesion size of patients with CSE to a certain extent.Patients with the peritoneal type have larger lesions,higher amount of intraoperative blood loss,and higher proportions of patches use,which should be of clinical concern.
