Possover Marc, Chiantera V
Department of Obstetrics and Gynecology, St. Elisabeth Hospital, Cologne, Germany.
Fertil Steril. 2007 Feb;87(2):417.e17-9. doi: 10.1016/j.fertnstert.2006.05.084.
To report that isolated endometriosis of the sciatic nerve without further manifestation of endometriosis does exist.
We describe our technique of laparoscopic neurolysis of the sciatic nerve and the sacral plexus.
Department of Gynecology and Obstetrics, St. Elisabeth Hospital, affiliated with the University of Cologne, Cologne, Germany.
PATIENT(S): Three female patients with isolated endometriotic infiltration of the endopelvic portion of the sciatic nerve.
INTERVENTION(S): Elective laparoscopic neurolysis of the sciatic nerve with removal of endometriosis.
MAIN OUTCOME MEASURE(S): Disparition of pain in the patients and histologic information of the endometriosis.
RESULT(S): Isolated endometriosis of the sciatic nerve and/or the sacral plexus does exist without any further endometriosis genitalis externa manifestations.
CONCLUSION(S): In young patients with sciatica of an unknown genesis, an endometriosis of the sciatic nerve must be evoked, and a laparoscopic exploration of the sciatic nerve must be discussed.
报告坐骨神经孤立性子宫内膜异位症且无子宫内膜异位症其他表现的情况确实存在。
我们描述了对坐骨神经和骶丛进行腹腔镜神经松解术的技术。
德国科隆大学附属圣伊丽莎白医院妇产科。
3例女性患者，其坐骨神经盆腔内部分存在孤立性子宫内膜异位浸润。
选择性腹腔镜下坐骨神经松解术并切除子宫内膜异位症。
患者疼痛消失以及子宫内膜异位症的组织学信息。
坐骨神经和/或骶丛孤立性子宫内膜异位症确实存在，且无任何外阴部子宫内膜异位症的其他表现。
对于病因不明的年轻坐骨神经痛患者，必须考虑坐骨神经子宫内膜异位症，并讨论对坐骨神经进行腹腔镜探查。
