摘要
Abstract
Objective To explore the clinical manifestation,diagnosis and treatment of bowel endometriosis(BE). Methods The clinical characters,diagnosis,treatment and outcomes of the 28 cases with BE were summarized and analyzed. Results Out of the 28 cases,16(57. 1%)mainly presented menalgia,12(42. 9%)algopareunia,8(28. 6%)lower abdominal pain,and 22 cases(78. 6%) were complicated with digestive symptoms,16(57. 1%)with sterility infertility;the diagnosis were confirmed within 3 to 12 days;the examination with per-vagina ultrasound and endorectal endoscopic ultrasonography was made in 8 cases,that with per-vagina ultrasound,multiple screw CT and endorectal endoscopic ultrasonography in 10 cases,that with per-vagina ultrasound,multiple screw CT and colonoscopy in 6 cases and that with per-vagina ultrasound,multiple screw CT and magnetic resonance imaging in 4 cases. 12 cases were treated by open abdominal surgery and 16 cases under laparoscope. After treatment,the symptoms of BE were dismissed in all cases and follow-up lasted from half a year to 5 years with no reoccurrence;out of the 16 cases complicated with sterility infertility,10 cases(62. 5%)were pregnant. Conclusions The symptoms of BE are not typical,and the diagnosis of BE is difficult;open abdomen surgery and laparoscopic treatment are effective for BE.关键词
肠道子宫内膜异位症/临床表现/诊断/治疗Key words
bowel endometriosis(BE)/clinical manifestation/diagnosis/treatment分类
医药卫生
