Abrão Mauricio Simões, Neme Rosa Maria, Averbach Marcelo
Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina, Universidade de São Paulo, Brazil.
Arq Gastroenterol. 2003 Jul-Sep;40(3):192-7. doi: 10.1590/s0004-28032003000300011. Epub 2004 Mar 15.
The involvement of the rectovaginal septum, of rectum and sigmoid by endometriosis leads to intense symptoms as dysmenorrhea, pelvic pain, deep dyspareunia, tenesmus and hematochezia in young and middle aged women during periods. The diagnosis can be made by tipycal history and vaginal examination, rectal examination, barium enema, proctoscopy and so on. The indications of operation include severe clinic symptoms and failed conservative therapy. The treatment of choice for this type of endometriosis is the surgical resection of affected tissue, in order to relieve patient symptoms, and avoid disease progression. The correct assessment as to the presence and extension of the endometriosis-affected sites such as the rectum, uterosacral ligaments and rectovaginal septum is extremely important to provide better results with the surgical treatment of endometriosis.
To describe the main aspects related to rectovaginal septum endometriosis and offer the general surgeon some information about this enigmatic disease.
Rectovaginal septum endometriosis is a frequent disease, with specific diagnosis and treatment.
子宫内膜异位症累及直肠阴道隔、直肠和乙状结肠会导致年轻及中年女性经期出现痛经、盆腔疼痛、深部性交困难、里急后重和便血等严重症状。可通过典型病史、阴道检查、直肠检查、钡灌肠、直肠镜检查等进行诊断。手术指征包括严重的临床症状和保守治疗失败。这类子宫内膜异位症的治疗选择是手术切除受累组织，以缓解患者症状并避免疾病进展。正确评估子宫内膜异位症受累部位如直肠、子宫骶韧带和直肠阴道隔的存在及范围，对于子宫内膜异位症的手术治疗取得更好效果极为重要。
描述直肠阴道隔子宫内膜异位症的主要方面，并为普通外科医生提供有关这种疑难疾病的一些信息。
直肠阴道隔子宫内膜异位症是一种常见疾病，有其特定的诊断和治疗方法。
