输尿管子宫内膜异位症：一项系统的文献综述。
Ureteral endometriosis: A systematic literature review.
作者信息
Palla Viktoria-Varvara, Karaolanis Georgios, Katafigiotis Ioannis, Anastasiou Ioannis
机构信息
Department of Obstetrics and Gynecology, Diakonie-Klinikum Schwäbisch Hall gGmbH, Schwäbisch Hall, Germany.
Department of Surgery, Vascular Unit, Laiko General Hospital, Medical School of Athens, Athens 11527, Greece.
出版信息
Indian J Urol. 2017 Oct-Dec;33(4):276-282. doi: 10.4103/iju.IJU_84_17.
INTRODUCTION
Ureteral endometriosis is a rare disease affecting women of childbearing age which presents with nonspecific symptoms and it may result in severe morbidity. The aim of this study was to review evidence about incidence, pathogenesis, clinical presentation, diagnosis, and management of ureteral endometriosis.
MATERIALS AND METHODS
PubMed Central database was searched to identify studies reporting cases of ureteral endometriosis. "Ureter" or "Ureteral" and "Endometriosis" were used as key words. Database was searched for articles published since 1996, in English without restrictions regarding the study design.
RESULTS
From 420 studies obtained through database search, 104 articles were finally included in this review, including a total of 1384 patients with ureteral endometriosis. Data regarding age, location, pathological findings, and interventions were extracted. Mean patients' age was 38.6 years, whereas the therapeutic arsenal included hormonal, endoscopic, and/or surgical treatment.
CONCLUSIONS
Ureteral endometriosis represents a diagnostic and therapeutic challenge for the clinicians and high clinical suspicion is needed to identify it.
引言
输尿管子宫内膜异位症是一种罕见疾病，影响育龄女性，表现为非特异性症状，可能导致严重的发病率。本研究的目的是综述有关输尿管子宫内膜异位症的发病率、发病机制、临床表现、诊断和治疗的证据。
材料与方法
检索PubMed Central数据库以识别报告输尿管子宫内膜异位症病例的研究。使用“输尿管”或“输尿管的”以及“子宫内膜异位症”作为关键词。在数据库中搜索自1996年以来发表的英文文章，对研究设计无限制。
结果
通过数据库检索获得420项研究，本综述最终纳入104篇文章，共1384例输尿管子宫内膜异位症患者。提取了有关年龄、部位、病理结果和干预措施的数据。患者平均年龄为38.6岁，治疗方法包括激素、内镜和/或手术治疗。
结论
输尿管子宫内膜异位症对临床医生来说是一个诊断和治疗挑战，需要高度的临床怀疑才能识别它。
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