Leconte Mahaut, Borghese Bruno, Chapron Charles, Dousset Bertrand
AP-HP, hôpital Cochin, université Paris-Descartes, service de chirurgie digestive, hépatobiliaire et endocrinienne, 75679 Paris cedex 14, France.
Presse Med. 2012 Apr;41(4):358-66. doi: 10.1016/j.lpm.2011.07.017. Epub 2011 Oct 19.
Endometriosis affects 6 to 10 % of all women of childbearing age. Intestinal involvement is defined by muscularis infiltration and has been estimated to occur in 8 % to 12 % of women with endometriosis. The most common sites are rectum, sigmoid and ileocaecal junction. In most cases, intestinal endometriosis is associated with deep infiltrating endometriosis, multifocal and aggressive form of endometriosis, responsible for refractory pelvic pain and infertility. The symptoms are nonspecific but are characterized by cyclic exacerbation of pain. The preoperative work-up includes a rectal endoscopic ultrasonography, a transvaginal ultrasonography, a pelvic magnetic resonance imaging and a multidetector CT scan. There is currently no cure other than surgical removal of lesions. Medical treatments are based on a hormone used to block ovarian function.
子宫内膜异位症影响6%至10%的育龄妇女。肠道受累以肌层浸润来定义，据估计，在患有子宫内膜异位症的女性中，肠道受累发生率为8%至12%。最常见的部位是直肠、乙状结肠和回盲部交界处。在大多数情况下，肠道子宫内膜异位症与深部浸润性子宫内膜异位症相关，这是一种多灶性且侵袭性的子宫内膜异位症形式，可导致难治性盆腔疼痛和不孕。症状不具有特异性，但以疼痛周期性加重为特征。术前检查包括直肠内镜超声检查、经阴道超声检查、盆腔磁共振成像和多层螺旋CT扫描。目前除了手术切除病灶外没有治愈方法。药物治疗基于用于阻断卵巢功能的激素。
