Nackley A C, Yeko T R
Department of Obstetrics and Gynecology, University of South Florida, Harbourside Medical Tower, Suite 529, 4 Columbia Drive, Tampa, FL 33606, USA.
J Am Assoc Gynecol Laparosc. 2000 Feb;7(1):131-3. doi: 10.1016/s1074-3804(00)80023-7.
Ten women had endometriosis and pelvic peritoneal defects of the posterior leaf of the broad ligament, with the consistent finding of medial displacement of the ureter toward the uterosacral ligament. Ureterolysis at the time of surgery revealed the underlying course of the ureter and its proximity to the uterosacral ligament, making it susceptible to surgical injury. It is important for surgeons to be aware of this anatomic alteration associated with these specific peritoneal defects.
十名患有子宫内膜异位症且阔韧带后叶存在盆腔腹膜缺损的女性,一致发现输尿管向子宫骶韧带内侧移位。手术时进行输尿管松解术揭示了输尿管的走行及其与子宫骶韧带的接近程度,使其容易受到手术损伤。外科医生意识到这种与这些特定腹膜缺损相关的解剖学改变很重要。