Tharmaratnam A
Gleneagles Medical Centre, Penang.
Med J Malaysia. 1991 Dec;46(4):365-70.
Endometriosis and its complications are not uncommon in Malaysian women. Two cases of ureteric obstruction due to endometriosis are reported and the literature on ureteric obstruction and endometriosis reviewed. It is emphasized that the possibility of ureteric obstruction must be suspected when there is extensive endometriotic disease or if the patient presents with loin pain or pain on one side of the abdomen. Ultrasound scan of the kidneys and, if necessary, an intravenous pyelogram will have to be done on the slightest suspicion. Patients with endometriosis will have to be followed up until the menopause or even later if they are on hormone replacement therapy.
子宫内膜异位症及其并发症在马来西亚女性中并不罕见。本文报告了两例因子宫内膜异位症导致输尿管梗阻的病例，并对有关输尿管梗阻与子宫内膜异位症的文献进行了综述。需要强调的是，当存在广泛的子宫内膜异位病变时，或者患者出现腰痛或腹部一侧疼痛时，必须怀疑有输尿管梗阻的可能性。一旦有丝毫怀疑，就必须对肾脏进行超声扫描，必要时还需进行静脉肾盂造影。患有子宫内膜异位症的患者必须进行随访，直至绝经，如果她们接受激素替代治疗，则随访甚至要更久。
