摘要
目的总结结直肠子宫内膜异位症的诊断方法、肠镜下征象及临床表现特征,探讨内镜技术在子宫内膜异位症诊断中的应用价值。方法回顾性分析3例外科术后病理证实结直肠子宫内膜异位症的病例资料及文献复习。结果术前3例均行肠镜检查并活检,病理回报为炎症。1例施行外科开腹手术,2例腹腔镜手术术中见病变广泛粘连、难以分离,中转开腹手术。术后病理证实为子宫内膜异位症。结论内镜、超声内镜(EUS)、超声内镜引导下细针穿刺(EUS-FNA)可做为一种微创、敏感确切的诊断结直肠子宫内膜异位症的有效手段。
Objective： To summarize the diagnosis methods of endometriosis in colon and rectum,and its colonoscopy sign and clinic characters. To investigate the value about diagnosis of colorectal endometriosis by endoscopic technique. Methods： Retrospective analysis of 3 patients treated by surgery and pathology confirmed as endometriosis in colon and rectum and review literature. Result： All the patients received colonoscopy and biopsy, and inflammation were reported.One of the 3 patients underwent laparotomy with bowel resection.Two of the 3 patients underwent laparoscopic surgery at first, because of adhesion in part,changed the treatment via laparotomy.All of the 3 patients pathological return were endometriosis. Conclusion： Endoscopy,EUS and EUS-FNA are minimally invasive,sensitive techniques for the diagnosis of endometriosis in colon and rectum.
出处
《中国消化内镜》
2008年第11期1-4,共4页
Digestive Disease and Endoscopy
