经内镜下分次黏膜切除术诊断结肠子宫内膜异位症1例并文献复习  

Colonic endometriosis diagnosed by endoscopic piecemeal mucosal resection:A case report and literature review

作　　者：王超 郑末[2] 李甜甜[1] 王珏磊[1] 孙光斌 Chao Wang;Mo Zheng;Tian-Tian Li;Jue-Lei Wang;Guang-Bin Sun(Department of Gastroenterology,The Fifth Central Hospital of Tianjin,Tianjin 300450 China;Pathology Department,The Fifth Central Hospital of Tianjin,Tianjin 300450,China)

机构地区：[1]天津市第五中心医院消化内科,天津市300450 [2]天津市第五中心医院病理科,天津市300450

出　　处：《世界华人消化杂志》2021年第9期496-500,共5页World Chinese Journal of Digestology

摘　　要：背景子宫内膜异位症是发生于育龄期女性的一种慢性雌激素依赖性疾病,异位内膜可侵犯全身任何部位,结肠子宫内膜异位症发生率低,临床表现不典型,误诊率高.病例简介本文报道了1例因腹泻就诊于消化科内科的患者,通过内镜下分次黏膜切除术(endoscopic piecemeal mucosal resection,EPMR)确诊了结肠子宫内膜异位症,避免了非必要的外科手术.结论应用EPMR大活检或可作为提高结直肠子宫内膜异位症诊断率的一种方法,但尚需大样本量的研究证实.BACKGROUND Endometriosis is a chronic estrogen-dependent disease that occurs in women of childbearing age.Ectopic endometrium can invade any part of the body.Since colonic endometriosis has a low incidence and atypical clinical manifestations,it is difficult to diagnose and has a high misdiagnosis rate.CASE SUMMARY A woman presented with diarrhea and she was diagnosed as having colonic endometriosis by endoscopic piecemeal mucosal resection,which helped avoid unnecessary surgery.CONCLUSION Endoscopic piecemeal mucosal resection for large biopsy may be used as a method to improve the diagnostic rate of colorectal endometriosis.But it needs to be confirmed by a large sample study.

关 键 词：结肠 子宫内膜异位症 内镜下分次黏膜切除术 大活检 

分 类 号：R713.4[医药卫生—妇产科学]