七例泌尿系子宫内膜异位症的诊治分析  

Analysis of diagnosis and therapy for seven cases of urinary tract endometriosis

作　　者：陈健[1] 李昆仑[1] 金承洛[1] 

机构地区：[1]哈尔滨医科大学第二附属医院泌尿外科,150086

出　　处：《中国医师进修杂志》2014年第32期1-3,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨泌尿系子宫内膜异位症（UTE）的临床诊疗方法。方法回顾性分析7例病理结果证实为UTE患者的临床资料。7例患者平均年龄为36．5岁；2例经膀胱镜下取病理确诊，另5例均经术中及术后病理证实。内分泌辅助治疗下2例行开放膀胱部分切除术，1例行膀胱段输尿管切除＋输尿管再植术，4例行输尿管狭窄段切除＋端端吻合术。结果7例患者均被确诊为UTE，其中2例膀胱子宫内膜异位，4例输尿管子宫内膜异位，1例输尿管及膀胱均有子宫内膜异位；术后患者恢复良好，随访2-3年，均未复发。结论UTE临床较为少见，易误诊，异位组织的完整切除并内分泌辅助治疗是此病的主要治疗方法，手术方式的选择应参考病变位置、范围、深度等。Objective To investigate the method of clinical diagnosis and treatment for urinary tract endometriosis （UTE）. Methods The clinical data of 7 patients with UTE were analyzed retrospectively. Mean age was 36.5-year old. Two cases were diagnosed by taking cystoscopic biopsy tissue, the others were confirmed by intraoperative and postoperative pathology. Under the adjuvant treatment of endocrine, 2 patients were performed partial cystectomy and ureteral resection and end-to-end anastomosis in 4 patients, 1 patient undertook ureteric reimplantation. Results Among 7 patients, 2 patients had endometrial ectopic bladder, 4 patients had endometrial ectopic ureter, 1 patient had endometrisis of bladder and urter. After operation, no leak and recurrence occurred 2 - 3 years of follow-up. Conclusions UTE is rarely seen and usually escape the attention of the physicians, endocrine therapy with surgical resection is the primary method. Choice of surgical approach should be based on a variety of factors lesion location, scope, depth, bilateral renal function, etc.

关 键 词：子宫内膜异位症 泌尿道 诊断 治疗结果 

分 类 号：R711.71[医药卫生—妇产科学]