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目的:探讨泌尿系子宫内膜异位症的诊断及治疗方法。方法:回顾性分析2001~2011年收治的5例病理确诊为泌尿系子宫内膜异位症患者的临床资料:平均年龄36岁。其中2例通过膀胱镜和活检确诊为膀胱子宫内膜异位症,3例通过超声、静脉尿路造影、输尿管镜检查确诊为左输尿管子宫内膜异位症。2例膀胱子宫内膜异位症均行经尿道膀胱肿物电切术,3例输尿管子宫内膜异位症均行开放手术治疗,其中1例行输尿管粘连松解术,2例行输尿管瘢痕狭窄段切除输尿管端端吻合术并处理盆腔子宫内膜异位病变。结果:膀胱子宫内膜异位1例术后10个月复发,行膀胱部分切除术治愈。所有患者术后病理检查报告均为子宫内膜异位症。随访10~60个月,未见复发及进展。结论:泌尿系子宫内膜异位症临床少见,膀胱子宫内膜异位症可以行经尿道电切及膀胱部分切除术,输尿管子宫内膜异位症的治疗方法取决于输尿管病变的位置、受累的深度及范围。
Objective: To investigate the diagnosis and treatment of urinary tract endometriosis. Methods: The clinical data of 5 patients diagnosed as urinary tract endometriosis from 2001 to 2011 were analyzed retrospectively: the mean age was 36 years. Among them, 2 cases were diagnosed as bladder endometriosis by cystoscopy and biopsy, 3 cases were diagnosed as left ureter endometriosis by ultrasound and venous urography. 2 cases of bladder endometriosis were transurethral resection of bladder tumor, 3 cases of ureteral endometriosis were undergone open surgery, including 1 case of ureteral adhesions lysis, 2 cases of ureteral scar stenosis Segment ureter end anastomosis and pelvic endometriosis. Results: One case of bladder endometriosis recurred 10 months after operation, and partial bladder resection was performed. Postoperative pathological examination of all patients report endometriosis. Follow-up 10 to 60 months, no recurrence and progress. Conclusions: Urinary tract endometriosis is rare in clinical practice. Bladder endometriosis can be transurethral resection of the urethra and resection of the bladder. The treatment of ureteral endometriosis depends on the location of the ureteral lesion. Depth and range.