Chapron C, Dubuisson J B, Jacob S, Fauconnier A, Da Costa Vieira M
Service de chirurgie gynécologique, Clinique universitaire Baudelocque, CHU Cochin-Saint-Vincent-de-Paul, Paris, France.
Gynecol Obstet Fertil. 2000 Mar;28(3):232-7.
Partial cystectomy is in the great majority of the cases the treatment of choice for patients with bladder endometriosis. The aim is to assess the methods, indications and results of operative laparoscopy for patients presenting with bladder endometriosis. We perform a descriptive retrospective study of 13 cases. All patients presenting with bladder endometriosis infiltrating the bladder muscularis between January 1, 1993 and June 30, 1998 were included in this series. It was possible to treat bladder endometriosis in all the patients by performing a laparoscopic partial cystectomy. With an average follow-up of 29.3 +/- 24.6 months (range 4-77) the results are satisfactory. Neither peri- nor postoperative complications were observed. The patients experienced an improvement in their condition, with complete disappearance of the urinary symptoms in every case. No recurrence of the functional urological symptoms occurred. Provided the surgeons are skilled and the lesions require no ureteral reimplantation, operative laparoscopy is a valid alternative to laparotomy for partial cystectomy.
在大多数情况下，部分膀胱切除术是膀胱子宫内膜异位症患者的首选治疗方法。目的是评估手术腹腔镜检查对膀胱子宫内膜异位症患者的方法、适应症和结果。我们对13例病例进行了描述性回顾性研究。本系列纳入了1993年1月1日至1998年6月30日期间所有出现膀胱子宫内膜异位症并浸润膀胱肌层的患者。通过进行腹腔镜部分膀胱切除术，所有患者的膀胱子宫内膜异位症均得以治疗。平均随访29.3±24.6个月（范围4 - 77个月），结果令人满意。未观察到围手术期和术后并发症。患者病情有所改善，每例患者的泌尿系统症状均完全消失。功能性泌尿系统症状未复发。如果外科医生技术熟练且病变无需输尿管再植术，手术腹腔镜检查是部分膀胱切除术替代剖腹手术的有效选择。
