经尿道膀胱部分切除术及腹腔镜重建术治疗膀胱子宫内膜异位症
Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis.
作者信息
Pang See-Tong, Chao Angel, Wang Chin-Jung, Lin Gigin, Lee Chyi-Long
机构信息
Department of Surgery, Division of Urology, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung University College of Medicine, Tao-Yuan, Taiwan.
出版信息
Fertil Steril. 2008 Nov;90(5):2014.e1-3. doi: 10.1016/j.fertnstert.2008.04.045. Epub 2008 Aug 3.
OBJECTIVE
To report the successful management of bladder endometriosis with laparoscopic and transurethral partial cystectomy.
DESIGN
Case report.
SETTING
Tertiary-care university hospital.
PATIENT(S): A 36-year-old woman with bladder endometriosis.
INTERVENTION(S): Combined laparoscopic and transurethral excision of endometriotic lesions and bladder repair.
MAIN OUTCOME MEASURE(S): Symptoms remission.
RESULT(S): A hypoestrogenic agent with gonadotropin-releasing hormone (GnRH) agonist was administered for 6 months after the surgery. The patient found to be in good health with normal voiding and full continence during 14 months of regular follow-up evaluations.
CONCLUSION(S): Combined laparoscopy and transurethral resectoscopy can be an alternative treatment to traditional laparotomy in women with bladder endometriosis, especially in those who have simultaneous pelvic endometriosis.
目的
报告经腹腔镜及经尿道部分膀胱切除术成功治疗膀胱子宫内膜异位症的病例。
设计
病例报告。
单位
三级护理大学医院。
患者
一名36岁患有膀胱子宫内膜异位症的女性。
干预措施
联合腹腔镜及经尿道切除子宫内膜异位病灶并修复膀胱。
主要观察指标
症状缓解情况。
结果
术后给予促性腺激素释放激素（GnRH）激动剂类低雌激素药物治疗6个月。在14个月的定期随访评估中，患者健康状况良好，排尿正常且完全控尿。
结论
对于患有膀胱子宫内膜异位症的女性，尤其是同时患有盆腔子宫内膜异位症的患者，联合腹腔镜及经尿道电切镜检查术可作为传统剖腹手术的替代治疗方法。
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