摘要
Abstract
Bowel endometriosis, defined as endometri-otic lcsions infiltrating or growing in partial or entire bowel wall, is characterized by dysmenorrhea, dyspa-reunia and pain during defecation. The whole gastrointestinal tract, but most commonly the rectosigmoid junction, can be involved. Double air-barium contrast examination of the rectum, transvaginal ultrasound, transrectal ultrasound, magnetic resonance imaging (MRI) and multislice spiral computed tomography enteroclysis could help to diagnose the disease. Medication can have transient control of the clinical symptoms, but without long-term benefit. Radical resection of the endometriotic lesions, including resection of those infiltrating the bowel, is an effective treatment for bowel endometriosis. Surgical techniques to remove the bowel endometriotic nodules include shaving resection, discoid resection, and seg-mental bowel resection plus anastomosis. Although the indications for surgical resection of bowel endometriotic foci are controversial, an increasing number of researches have demonstrated postoperative improvement of clinical symptoms and quality of life,and increased conception rate.关键词
肠道子宫内膜异位症/根治性子宫内膜异位症病灶切除Key words
bowel endometriosis/ radical resection of endometriotic lesions分类
医药卫生
