中文摘要：

目的：探讨腹壁子宫内膜异位症的临床特点、治疗及预后。方法：回顾性分析87例腹壁子宫内膜异位症患者的临床资料和随访信息。结果：患者平均就诊年龄（30．10±5．30）岁。所有患者有手术史，其中85例有剖宫产病史。主要临床表现为包块周期性疼痛84例，占96．55％，所有患者查体时均可发现腹壁包块，单个病灶多见，病灶累及皮下脂肪层32例（36．78％），累及肌层42例（48．28％），累及筋膜层5l例（58．62％），累及腹膜19例（21．84％）。所有病灶均行包块切除术，术后23例患者追加药物治疗，多数患者选择促性腺激素释放激素激动剂。术后随访期间5例患者复发，复发率5．75％。结论：腹壁切口内异症具有典型的临床表现，结合病史和B超检查容易发现；手术是治疗AWE的首选方法，范围应达病灶外1cm以上；病灶复发可多次手术治疗，但应警惕恶变可能。

英文摘要：

Objective： To investigate the clinical characteristics, treatments and prognoses of abdominal wall endometriosis （AWE） . Methods： 87 cases diagnosed with AWE in our hospital were collected from the hospital＇s medical records. Data on clinical charac- teristics and follow - up were analyzed retrospectively. Results： Mean age of cases was （30. 10 ± 5.30） years, Each patient had undergone previous surgery, and 85 had undergone caesarean section. 84 cases （96. 55% ） complained pain symptorms and all patients complained presence of a mass. The locations of the lesions during surgery were found in the fat layer in 32 cases （36, 78% ）, 42 cases （48.28%） in- vading the muscular layer, 51 cases （58.62%） invading the fascia, 19 cases （21.84%） invading the peritoneum. Single mass was com- mon. For all patients, the abdominal mass was surgically excised： After surgery, 23 cases received medical therapy and most of them chose GnRH- a. During follow- up period, 5 cases recurred, and the postoperative recurrence rate was 5.75%. Conclusion： AWE has typical clinical presentation, and a combination of history and B ultrasound examination could detect AWE easily. Complete resection is the primary treatment for AWE, resection scope should be outside of the lesion more than 1 cm. Re - excision surgery could be applied to patients with re- currence yet it is important to prevent malignant transformation.