论文部分内容阅读
目的 探讨子宫内膜异位症 (EMS)引起泌尿系梗阻的诊断与治疗方法。 方法 1997～ 2 0 0 0年收治EMS患者 2 3例 ,其中 2例侵犯泌尿系 ,造成肾脏及输尿管积水、扩张 ,术中行子宫次全切除、盆腔包块切除及输尿管周围组织粘连松解。 结果 2例术后 7～ 10d复查梗阻均解除 ,随访 2年 ,未见复发。 结论 对EMS引起泌尿系梗阻应予以重视 ,EMS患者术前应常规行泌尿系B超 ,必要时行IVU检查 ;术中注意输尿管及其周围组织粘连病灶的探查及处理 ;术后常规服用 6个月孕三烯酮类药物 ,定期随访 ,可获得满意疗效
Objective To investigate the diagnosis and treatment of urinary tract obstruction caused by endometriosis (EMS). Methods Between 1997 and 2000, 23 cases of EMS patients were admitted, of which 2 cases invaded the urinary system, resulting in hydronephrosis and dilation of the kidneys and ureters, subtotal hysterectomy, pelvic mass resection and adhesions around ureter. Results In 2 cases, the obstruction was relieved 7 days to 10 days after operation. No recurrence was observed after 2 years follow-up. Conclusion EMS should pay attention to urinary tract obstruction, EMS patients should be routine preoperative urinary system B ultrasound, if necessary, line IVU examination; intraoperative attention to ureteral and its surrounding tissue adhesions lesions exploration and treatment routine postoperative 6 Pregnancy terpenoid drugs, regular follow-up, access to satisfactory results