摘要
目的总结直肠子宫内膜异位症的外科治疗经验。方法回顾性分析近10年收治的16例直肠子宫内膜异位症患者的临床资料。结果3例(18.8%)有典型的经期便血。2例(12.5%)误诊为直肠肿瘤,6例(37.5%)为妇科腹腔镜检时发现直肠病变。12例(75.0%)直肠病变位于距肛缘7～9cm处。局部切除6例,Dixon手术10例,其中吻合器吻合8例,术后均无并发症,直肠无复发。结论诊断盆腔子宫内膜异位症时应注意避免遗漏直肠病变,腹腔镜、直肠腔内超声检查有助于明确诊断。Dixon术式为根治直肠病变和减少复发的有效方法,吻合器使用具有操作简便、费时少、术后并发症少等优点。
Objective To summarize the clinical experience of rectal endometriosis(RE) and evaluate its surgical procedures. Methods Clinical data of 16 cases with rectal endometriosis from 1991 to 2001 were analyzed retrospectively. Results Three cases presented with typical hematochezia during menstrual period. Two cases were misdiagnosed as rectal tumors. 6 cases were confirmed by laparoscopy. 75%of rectal lesions were located 7～9 cm above the anal edge. Local resection was performed in 6 cases, and Dixons operation in 10 cases. Conclusions Attention should be paid to rectal endometriosis when pelvic endometriosis is established.Laparoscopy and intrarectal ultrasonography are useful techniques for diagnosis.Dixons operation is an effective method to cure RE and reduce recurrence. Using stapler possesses advantages of simple procedure, spending less time and few complications.
出处
《中华胃肠外科杂志》
CAS
2003年第1期24-26,共3页
Chinese Journal of Gastrointestinal Surgery
