子宫内膜异位症(EM)常见于30～35岁妇女,年青及老年妇女少见。绝经前期发病率10％～15％。2％～4％发生于泌尿系统,好发于膀胱及输尿管,肾脏罕见,至今文献报道仅9例,多伴发于盆腔EM。子宫及两附件切除后本不应再发病,近来却发现可能是首例的激素替代疗法引发的EM。 患者39岁,4年前因有症状子宫肌瘤经腹全切子宫及两附件。术中未见其它异常。组织学证实为子宫肌瘤及良性单纯性卵巢囊肿。术后先用雌二醇埋 Endometriosis (EM) is common in women aged 30 to 35 years, rare in young and older women. Premenopausal morbidity 10% ~ 15%. 2% to 4% occur in the urinary system, occur in the bladder and ureter, kidney rare, so far reported in the literature only 9 cases, mostly associated with pelvic EM. Uterus and two annexes should not recur after resection, but recently found that may be the first case of hormone replacement therapy-induced EM. 39-year-old patient, 4 years ago due to symptoms of uterine fibroids abdomen, complete removal of the uterus and two annexes. No other abnormalities during surgery. Histologically confirmed as uterine fibroids and benign simple ovarian cysts. After surgery with estradiol buried