Weed J C, Ray J E
Obstet Gynecol. 1987 May;69(5):727-30.
One hundred sixty-three cases of endometriosis of the bowel (5.4% of 3037 laparotomies for endometriosis at the Ochsner Foundation Hospital) were reviewed to assess the management of this complication. Colon and rectal surgeons performed bowel resections of the colon in 30 cases and resections of the ileum and/or cecum in 11 cases. Gynecologic surgeons resected bowel implants, often multiple, in 153 patients, and also performed other necessary surgery, either ablative (with removal of uterus, tubes, and one or both ovaries; 58.8%) or conservative (with preservation of reproductive potential; 41.2%). The bowel mucosa was opened in 15% of implant resections. Complications included transient pulmonary febrile responses in 43%, two pelvic infections, and one hematoma. Ileus was not a problem, and there were no deaths. Resection of intestinal implants appears to be a safe procedure.
对163例肠道子宫内膜异位症患者（占奥施纳基金会医院3037例因子宫内膜异位症行剖腹手术患者的5.4%）进行回顾性研究，以评估该并发症的处理方法。结肠和直肠外科医生对30例患者进行了结肠切除术，对11例患者进行了回肠和/或盲肠切除术。妇科医生对153例患者切除了肠道内的种植灶，通常为多个，还进行了其他必要的手术，包括切除性手术（切除子宫、输卵管和一侧或双侧卵巢；58.8%）或保守性手术（保留生育能力；41.2%）。在15%的种植灶切除术中切开了肠黏膜。并发症包括43%的患者出现短暂性肺部发热反应、2例盆腔感染和1例血肿。肠梗阻不是问题，且无死亡病例。切除肠道内的种植灶似乎是一种安全的手术。
