Graham B, Mazier W P
Ferguson Hospital, Grand Rapids, Michigan.
Dis Colon Rectum. 1988 Dec;31(12):952-6. doi: 10.1007/BF02554893.
Colon and rectal endometriosis is a relatively rare entity that may have a wide array of clinical symptomatology and radiographic findings. Thirty-two patients with a diagnosis of colon or rectal endometriosis were seen and treated at the Ferguson Clinic between 1960 and 1986. Diagnostic, pathologic, and therapeutic findings were reviewed. All patients, except one, had large-bowel symptoms. Ten patients had previous histories of pelvic endometriosis. When endometriosis of the colon causes significant symptoms or a neoplasm cannot be ruled out, partial colectomy is recommended. If pelvic endometriosis is extensive, removal of the endometriomas and reproductive organs should be entertained concurrent with bowel resection. Hormonal manipulation may be attempted in certain select patients, with very close follow-up.
结肠和直肠子宫内膜异位症是一种相对罕见的病症，可能有各种各样的临床症状和影像学表现。1960年至1986年间，弗格森诊所共诊治了32例诊断为结肠或直肠子宫内膜异位症的患者。对其诊断、病理和治疗结果进行了回顾。除1例患者外，所有患者均有大肠症状。10例患者既往有盆腔子宫内膜异位症病史。当结肠子宫内膜异位症引起明显症状或不能排除肿瘤时，建议行部分结肠切除术。如果盆腔子宫内膜异位症广泛，在进行肠道切除的同时应考虑切除子宫内膜瘤和生殖器官。对于某些特定患者，可以尝试激素治疗，并进行密切随访。
