腹腔镜下结直肠子宫内膜异位症的诊断与治疗评价

Laparoscopic Diagnosis &Treatment Evaluation of Colorectal Endometriosis

为探讨腹腔镜下结直肠子宫内膜异位症的诊断与治疗评价,回顾性分析2008年1月至2010年12月收治的结直肠子宫内膜异位症患者30例的临床相关资料,并对腹腔镜下结直肠子宫内膜异位症的诊断及治疗作出分析评价。结果显示,行右半结肠切除且右侧附件切除3例,行回盲部及右侧附件切除3例,行左侧附件切除8例,行乙状结肠切除且双侧附件切除3例,行全子宫切除(或者Dixon手术)13例。所有患者术后均无复发,无严重并发症。结果表明,腹腔镜下结直肠子宫内膜异位症的诊断以及治疗的效果确切,探查范围广泛,且具有微创优势,具有诊断明确及同时实施治疗等优势,值得推广应用。

To investigate the laparoscopic diagnosis & treatment evaluation of colorectal endometriosis (CRE),author retrospectively analysed the data of 30 CRE patients treated in the hospital(2008-01 - 2010- 12 ), through the data evaluated their laparoscopic diagnosis & treatment of CRE. As results, 3 cases subjected to resection of right-side colon and right appendix,3 to resection of ileocecal site and right appendix,8 to left appendix resection.3 to resection of sigmoid and bilateral appendix, 13 to Dixon procedure.No recurrence and severe complication did occur.Results show that laparoscopic diagnosis & treatment of CRE has certain effect;Its exploring rdnge is extensive,of mini-invasive advantages with comfirmcd diagnosis to implement relevant treatment.lt is worthy of clinical popularization and application.