中国实用妇科与产科杂志

中国实用妇科与产科杂志

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输尿管子宫内膜异位症手术相关问题

  

  1. 中山大学附属第一医院妇科，广东 广州 510080
  • 出版日期:2021-03-02 发布日期:2021-03-15
  • 通讯作者: 姚书忠
  • 基金资助:
    国家自然科学基金（82072874，81874102）

Problems related to surgical treatment for ureteral endometriosis.

  1. Department of Gynecology，the First Affiliated Hospital，Sun Yat-sen University，Guangzhou 510080，China
  • Online:2021-03-02 Published:2021-03-15

摘要： 输尿管子宫内膜异位症起病隐匿，临床症状不典型，常合并无症状的肾功能丢失，早期诊断、及时处理至关重要。手术是治疗输尿管子宫内膜异位症的金标准，需要根据输尿管子宫内膜异位症的类型、病灶的大小、部位等决定相应的手术方式。手术方式有输尿管松解术、输尿管节段性切除端端吻合术、输尿管节段性切除输尿管膀胱种植术。手术治疗是安全、有效的，但要注意手术并发症的发生并积极预防和及时处理。

关键词: 输尿管, 子宫内膜异位症, 手术治疗

Abstract: Ureteral endometriosis（UE）is often asymptomatic and the symptom of UE is untypical. A large percentage of patients with UE may have an asymptomatic loss of renal function. Therefore，it is important to make an early diagnosis and timely treatment. Surgical intervention is the golden standard for the treatment of UE. The surgical technique must be chosen according to the type of UE，and the size and location of the lesions. Surgical approaches to UE may include：ureterolysis，ureteral segmental resection with end-to-end anastomosis，and ureteral segmental resection with ureteral reimplantation. Surgical treatment is considered effective and safe. Nevertheless，explicit attention must be paid to the fact that complications can occur. The complications must be treated in time.

Key words: ureter, endometriosis, surgical treatment

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