国际妇产科学杂志

国际妇产科学杂志 ›› 2011, Vol. 38 ›› Issue (4): 279-280.

• 综述 • 上一篇    下一篇

输尿管子宫内膜异位症的治疗进展

戴毓欣, 朱 兰   

  1. 100730 北京,中国医学科学院北京协和医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-08-15 发布日期:2011-08-15
  • 通讯作者: 朱 兰

Progress of the Treatment on Ureteral Endometriosis

DAI Yu-xin，ZHU Lan   

  1. Department of Obstetrics and Gynecology，Peking Union Medical College Hospital，Chinese Academy of Medical Sciences，Beijing 100730，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-08-15 Online:2011-08-15
  • Contact: ZHU Lan

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摘要： 输尿管子宫内膜异位症临床少见，症状隐匿，易漏诊而导致肾功能损害。治疗原则为切除病灶，解除梗阻，保护肾功能，防止复发。手术治疗是首选治疗方法，并配合以围手术期药物治疗。目前对于适宜的输尿管术式尚无定论，腹腔镜手术是今后输尿管子宫内膜异位症手术治疗的趋势。

关键词: 输尿管, 子宫内膜异位症, 输尿管粘连松解术, 腹腔镜

Abstract: Ureteral endometriosis is a rare entity and rather difficult to diagnose due to the frequent lack of signs or symptoms， which may lead to hydronephrosis and impaired renal function. The treatment is aiming at removing all endometriosis lesions， relieving obstruction， preserving renal function and preventing recurrence. Surgical approaches are first-line therapy in the management of ureteral endometriosis， accompanied with perioperative hormone medical treatment. The optimum management protocol for the condition remains unanswered. Laparoscopic approach is suggested to manage ureteral endometriosis in the future.

Key words: Ureter, Endometriosis, Ureterolysis, Laparoscopes