摘要
目的:探讨腹腔镜手术治疗直肠阴道隔子宫内膜异位症的方法。方法:回顾分析8例直肠阴道隔子宫内膜异位症患者的临床资料。结果:7例行腹腔镜手术,1例行腹腔镜+阴式手术。切除病灶经病理检查证实为直肠阴道隔子宫内膜异位症。随诊最长2年,完整切除病灶者预后良好,未能完整切除病灶者症状、病灶持续存在。结论:直肠阴道隔子宫内膜异位症以痛经、肛门坠痛、性交痛、慢性盆腔痛、腰背部疼痛为主要临床表现,必须进行三合诊和阴道超声检查。手术是主要的治疗手段,腹腔镜或腹腔镜+阴式的手术方法值得应用。
Objective：To investigate the approach of laparoscopic operation to treat rectovaginal septum endometriosis. Methods：The clinical data of 8 cases with rectovaginal septum endometriosis were analyzed retrospectively. Results：Seven patients were treated by laparoscopic surgery. 1 patient underwent laparoscopic-assisted transvaginal rectovaginal septum nodus resection. The focuses were verified to be rectovaginal septum endometriosis by pathology. The longest follow-up was 2 years. The patients with complete focus ablation had good prognosis,while the patients with incomplete focus abbation had long existence of symptoms. Conclusions：The patients have symptoms such as dysmenorrhea, anus tenesmus, algopareunia and chronic pelvic pain, and must be examined by vagino-recto-abdominal examination and ultrasonic inspection. Operation is the main therapeutic method. The laparoscopic operation and laparo-scopic-assisted transvaginal operation are deserved to be applied.
出处
《腹腔镜外科杂志》
2007年第2期99-100,共2页
Journal of Laparoscopic Surgery
基金
深圳市科技局立项课题(项目编号:200603110)
