Casper F, Petri E
Geburtshilfe Frauenheilkd. 1985 Nov;45(11):789-91. doi: 10.1055/s-2008-1036649.
In the literature, figures quoted for the involvement of the urinary tract range between 1% and 11%, adenomyosis being the exception rather than the rule. The problems of preoperative diagnosis are illustrated with reference to five of the author's cases. In four-fifths of the cases definitive confirmation of the findings was only obtained by intraoperative examination with a rapid incision. In cases with preserved renal function, ureteroneocystostomy employing the psoas hitch technique with subsequent hormone treatment was the treatment of choice. Summarizing, endometriosis should be considered in differential diagnosis in premenopausal women with unclear complaints and micturition disorders in the distal one-third of the ureter.
在文献中，关于泌尿道受累的引用数据在1%至11%之间，子宫腺肌病为例外而非普遍情况。文中参考作者的5个病例说明了术前诊断的问题。五分之四的病例只有通过术中快速切开检查才能最终确诊。对于肾功能保留的病例，采用腰大肌悬吊技术行输尿管膀胱吻合术并随后进行激素治疗是首选治疗方法。总之，对于有不明原因主诉且输尿管远端三分之一段存在排尿障碍的绝经前女性，鉴别诊断时应考虑子宫内膜异位症。
