输尿管子宫内膜异位症1例并文献复习
| 作者: |
1张叶萌,
2韩奕能,
1冒婵娟,
1李伟,
1姚旭东,
1鄢阳
1 同济大学附属第十人民医院泌尿外科，上海 200072 2 同济大学附属口腔医院口腔综合科，上海 200072 |
| 通讯: |
鄢阳
Email: yanyangmn930@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2017.03.034 |
摘要
目的：提高对输尿管子宫内膜异位症(ureteral endometriosis)的认识。方法：分析1例输尿管子宫内膜异位症，并结合文献复习讨论。结果：本案例中患者以“腰酸背痛2月余”入院，全身麻醉下行输尿管活检术及输尿管镜检查术，术中见输尿管内息肉样生长新生物，参考临床病史诊断为输尿管子宫内膜异位症，行输尿管部分切除术及输尿管吻合术。结论：输尿管子宫内膜异位症虽不常见，且临床表现缺乏特异性，诊断明确时常常已经造成肾功能损害，所以应提高对输尿管内膜异位症的认识，对于有不明原因痛经、血尿、腰腹部坠胀或有子宫内膜异位症病史的患者，应结合影像学检查考虑输尿管内膜异位症，确诊后予以积极的手术和药物治疗，长期预后良好。
关键词：
输尿管
子宫内膜异位症
诊断
治疗
A case report of ureteral endometriosis and literature review
CorrespondingAuthor: YAN Yang Email: yanyangmn930@163.com
DOI: 10.3978/j.issn.2095-6959.2017.03.034
Abstract
Objective: To raise the awareness of ureteral endometriosis. Methods: A case of ureteral endometriosis was analyzed and reviewed with related literatures. Results: The chief complaint of this case was “backache for 2 months”. Ureteral biopsy and ureteroscopy were constructed and polypoid neoplasm was observed inside of ureter. She was diagnosed with ureteral endometriosis and ureter partial resection and ureteral anastomosis were constructed. Conclusion: Ureteral endometriosis is uncommon to see and the clinical characteristics lack specificity. Patients always had kidney damage when diagnosed with ureteral endometriosis. Thus, improving the understanding of ureteral endometriosis the endothelium is quite important. Patients with dysmenorrhea, unexplained hematuria, abdominal belly or a history of endometriosis, should consider to ureteral endometriosis. Once diagnosed with ureteral endometriosis, surgery and drug treatment should be constructed and its long-term prognosis is good.