摘要
目的评价腹腔镜手术治疗输尿管子宫内膜异位症的安全性和有效性。方法回顾性分析2010年10月至2014年10月在解放军总医院接受腹腔镜手术治疗的11例输尿管子宫内膜异位症患者的临床资料,分析治疗方法及治疗效果。结果 11例患者均成功接受腹腔镜手术,3例行输尿管松解术,6例行输尿管狭窄段切除＋输尿管膀胱再植术,2例行输尿管狭窄段切除＋输尿管端端吻合术,术中留置双J管,术后4~12周拔除,术中发现6例病变严重者,术后给予药物治疗3~6个月。围术期无严重并发症发生。术后平均随访31.3个月,1例3年后复发,再次手术,其余10例患者临床症状明显缓解,未见复发。结论腹腔镜手术治疗输尿管子宫内膜异位症是安全、有效的。术后辅以药物治疗可以减少复发。
Objective To evaluate the effectiveness and safety of laparoscopic management of ureteral endometriosis. Methods The clinical data of 11 cases with ureteral endometriosis treated by laparoscopic surgery in our hospital between Oct. 2010 and Oct. 2014 was retrospectively analyzed. Results Laparoscopic surgery was successfully finished in all 11 cases. The surgical procedures consisted of ureterolysis in 3 cases,distal ureterectomy and ureterocystoneostomy in 6,partial ureteral resection and endto-end ureteral anastomosis in 2. Double-J ureteral stent was indwelled during the surgery,and was extracted 4-12 weeks postoperatively. 6 cases with severe endometriosis received hormone therapy. There was no severe perioperative complication. The median follow-up time was 31. 3 months. In the follow-up period,1 case recurrenced 3 years later,and received surgery again. The postoperative recovery was uneventful in the other 10 cases. Conclusions Laparoscopic management of ureteral endometriosis is safe and feasible.Hormonal therapy after the operation can reduce the recurrence effectively.
出处
《中华腔镜外科杂志（电子版）》
2015年第3期10-13,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
国家自然科学基金(81272867)
