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Objective To investigate the abdominal wall endometriosis pathogenesis , diagnosis, treatment, prognosis and prevention ? Materials and Methods A retrospective analysis from 2000 to 2010 in our hospital , 35 patients were diagnosed as abdominal wall endometriosis surgery cases . Results 35 cases had a history of cesarean section , clinical manifestations are abdominal mass, 85.7% have pain, 74.3% of the abdominal wall tumor showed cyclical pain associated with menstruation , 14.3 % showed asymptomatic abdominal mass. 26 patients preoperative determination of CA125, in which case eight cases of serum CA125 gt; 35U / L, the average 30.9U / L (5.65-110.43U / L). 35 cases underwent preoperative abdominal B-ultrasound , only two cases had preoperative CT. Three patients received preoperative drug therapy , including one case of recurrence outside the hospital before use. 35 cases underwent surgical resection , 31 cases of resection of the lesion outside the 0.5-1cm, 4例resection of lesions outside the 2-3cm. There were 13 cases due to the removal of the part of the peritoneum, 12 cases carried out into the abdominal cavity and pelvic exploration , found two cases associated with pelvic endometriosis , postoperative use of medication. Six cases of abdominal tissue defects larger gt; 6cm, with prolead patch repair defect . Conclusion 1 , abdominal wall endometriosis is common in secondary cesarean section , the most common clinical manifestations of abdominal mass, and menstrual -related cyclical symptoms. 2 , serum CA125 in the abdominal wall endometriosis increases obvious, for the diagnosis of abdominal wall endometriosis value is not high , imaging for abdominal wall endometriosis specificity is not strong. 3, the treatment of choice for surgical resection of the lesion should be outside the range of 0.5-1cm, tissue defects larger gt; 6cm, need for patch repair . 4 , abdominal wall endometriosis mainly focusing on prevention .
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