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[浸润性子宫内膜异位症伴输尿管病变:妇科医生与泌尿外科医生在诊断、手术治疗及随访中的协作临床病例]

[Infiltrative endometriosis with ureteral lesion a clinical case of interaction between gynecologist and a urologist in diagnostics, surgical treatment and follow-up].

作者信息

Ishenko A I, Bryunin D V, Shpot E V, Chushkov Y V, Khokhlova I D, Tevlina E V

机构信息

I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia.

出版信息

Urologiia. 2022 Sep(4):86-90.

Abstract

The article is focused on the problem of diagnosis and surgical treatment of infiltrative forms of endometriosis with lesions of both internal genitalia and urinary tract. A clinical observation of a young woman who underwent a robot-assisted operation on the internal genitals and organs of the urinary system is given. The article emphasizes the need for complete clinical examination in women with suspected endometriosis. The young age of patients, even the absence of bright clinic signs or absence of a long anamnesis of the disease should not exclude the possibility of severe case of endometriosis and the possibility of a combined lesions of pelvic organs. If infiltrative endometriosis is detected, the patients treatment should be carried out in a specialized hospital using modern surgical technologies.

摘要

本文聚焦于子宫内膜异位症浸润型累及内生殖器和泌尿系统病变的诊断及外科治疗问题。文中给出了一位年轻女性接受机器人辅助内生殖器及泌尿系统手术的临床观察。文章强调,对于疑似子宫内膜异位症的女性,需要进行全面的临床检查。患者年龄较轻,即使缺乏明显的临床症状或疾病史不长,也不应排除严重子宫内膜异位症及盆腔器官合并病变的可能性。如果检测到浸润性子宫内膜异位症,患者应在专科医院采用现代外科技术进行治疗。

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