【摘要】 目的探讨输尿管子宫内膜异位症的诊断、治疗方法,提高输尿管子宫内膜异位症的诊治水平.方法回顾性分析8例输尿管子宫内膜异位症的临床特征、诊断、治疗方法.其中左侧3例,右侧5例.B超检查均发现输尿管中上段扩张、肾积水.IVU检查,8例均提示输尿管下段狭窄、输尿管上段扩张、肾积水.结果8例均行手术治疗,1例切除盆腔包块、松解输尿管并内置双J管;5例行输尿管狭窄段切除及输尿管膀胱再吻合;1例行输尿管狭窄段切除及输尿管端端吻合;1例行输尿管境检、置双J管术.术后病理检查均证实为输尿管子宫内膜异位症.随访8例,随访时间12月～7a,症状均消失,定期复查B超及IVU,肾积水均缓解.结论输尿管子宫内膜异位症缺乏典型临床表现,一旦发现,应尽早解除梗阻,保护肾功能.更多还原

【Abstract】 Objective To study and improve the diagnosis and treatment of ureteral endometriosis. Methods The clinical data of 8 ureteric endometriosis were retrospectively analyzed. Their mean age was 38 years (range,32～49 years).Of the 8 cases,3 cases were on the left side,5 on the right.All the cases were subjected to ultrasound and intravenous urogram (IVU) as preoperative diagnosis.B- ultrasound indicated upper urinary tract dilation and hydrops in all cases,and IVU also showed upper urinary tract dilation and hydrops in 8 cases.All the cases were treated surgically.One was treated with operation of resecting pelvic cavity masses and lysis of adhesions of ureter, and was detained with Double- J stent.5 cases was treated with resection of ureteropathy affection and ureterovesicostomy. 1 was treated with ureteroscopy and detaining with Double- J stent. Results Pathological findings confirmed the diagnosis of ureteral endometriosis.During the follow- up period of 12 months to 7 years for 8 cases,all symptoms were vanished.All cases were subjected to regular B- ultrasound and IVU.Nephrohydrosis was reduced.Conclusion Ureteral endometriosis is lack of typically clinical manifestation.Therapeutic principle is to relieve obstruction of ureter and treat pelvic endometriosis immediately while being diagnosed.更多还原