尿路子宫内膜异位症(附3例报告)

Urinary endometriosis (Report of 3 cases)

目的 :重视尿路子宫内膜异位症 ,探讨其诊断、治疗方法。方法 :对 3例尿路子宫内膜异位症的临床表现和B超、CT、膀胱镜征象以及治疗方法进行分析。结果 :术前明确诊断 2例 ,术中发现 1例 ,术后均病理证实 ,无复发 ,痊愈出院 ,疗效满意。结论 :确诊需靠腔镜检查或手术探查。诊断应强调详细地询问病史 ,治疗方法的选择决定于子宫内膜异位症的部位。

Purpose:To probe into the dignostic and therapeutic methods of urinary endometriosis.Method:Clinical data of 3 cases of urinary endometriosis were analysed retrospectively.including B ultrasonic,CT,cystoscopy fenineity physical examination.Result:2 cases were diagnosed preoperatively,one case was discavered intraoperatively.All were proved by biopsy diagnosis.The postoperative effects were satisfactory with no complication and no recrudescence.Conclusion:Diagnosis of urinary endometriosis depends on cystoscopy or celioscopy or exploration.Medical history must be inquired carefully.Cure of urinary endometriosis was chosed by the positon at vesicae or ureter.