Bianchi Alberto, Pulido Laura, Espín Francisco, Hidalgo Luis Antonio, Heredia Adolfo, Fantova M José, Muns Ramón, Suñol Javier
Servicio de Cirugía General, Hospital de Mataró, Consorci Sanitari del Maresme, Mataró, Barcelona, España.
Cir Esp. 2007 Apr;81(4):170-6. doi: 10.1016/s0009-739x(07)71296-4.
Endometriosis affects a wide spectrum of premenopausal women. Intestinal involvement, affecting mainly the large bowel and sometimes the small bowel, is much less frequent. Diagnosis is relatively straightforward in women with long standing pelvic endometriosis but is difficult in acute intestinal obstruction, since a diagnosis of endometriosis is not often considered in this entity. We performed an exhaustive review of the medical literature, including the option of medical treatment, which is rarely effective in intestinal endometriosis. In most patients with intestinal symptoms, the disease is so severe that surgical treatment is required. Recent studies indicate that the most effective approach is laparoscopic. We analyze the most important classical and recent series of patients and discuss treatment results.
子宫内膜异位症影响着广泛的绝经前女性。肠道受累主要影响大肠，有时也会影响小肠，这种情况相对较少见。对于患有长期盆腔子宫内膜异位症的女性，诊断相对简单，但在急性肠梗阻患者中诊断困难，因为在这种情况下，子宫内膜异位症的诊断往往不被考虑。我们对医学文献进行了详尽的综述，包括药物治疗选项，而药物治疗在肠道子宫内膜异位症中很少有效。在大多数有肠道症状的患者中，病情非常严重，需要手术治疗。最近的研究表明，最有效的方法是腹腔镜手术。我们分析了最重要的经典和近期患者系列，并讨论了治疗结果。
