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子宫内膜异位症与泌尿系统:从诊断到手术治疗

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment.

作者信息

Leonardi Mathew, Espada Mercedes, Kho Rosanne M, Magrina Javier F, Millischer Anne-Elodie, Savelli Luca, Condous George

机构信息

Acute Gynaecology, Early Pregnancy and Advanced Endoscopy Surgery Unit, Nepean Hospital, Kingswood, NSW 2747, Australia.

Nepean Clinical School, University of Sydney, Sydney, NSW 2747, Australia.

出版信息

Diagnostics (Basel). 2020 Sep 30;10(10):771. doi: 10.3390/diagnostics10100771.

Abstract

We aim to describe the diagnosis and surgical management of urinary tract endometriosis (UTE). We detail current diagnostic tools, including advanced transvaginal ultrasound, magnetic resonance imaging, and surgical diagnostic tools such as cystourethroscopy. While discussing surgical treatment options, we emphasize the importance of an interdisciplinary team for complex cases that involve the urinary tract. While bladder deep endometriosis (DE) is more straightforward in its surgical treatment, ureteral DE requires a high level of surgical skill. Specialists should be aware of the important entity of UTE, due to the serious health implications for women. When UTE exists, it is important to work within an interdisciplinary radiological and surgical team.

摘要

我们旨在描述泌尿道子宫内膜异位症(UTE)的诊断和手术治疗。我们详细介绍了当前的诊断工具,包括先进的经阴道超声、磁共振成像,以及诸如膀胱尿道镜检查等手术诊断工具。在讨论手术治疗方案时,我们强调对于涉及泌尿道的复杂病例,跨学科团队的重要性。虽然膀胱深部子宫内膜异位症(DE)的手术治疗相对直接,但输尿管DE需要高水平的手术技巧。由于对女性健康有严重影响,专家们应了解UTE这一重要病症。当存在UTE时,在跨学科的放射学和手术团队内开展工作很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7045/7650710/2dc4e66e17b9/diagnostics-10-00771-g001.jpg

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