Moore J G, Hibbard L T, Growdon W A, Schifrin B S
Am J Obstet Gynecol. 1979 May 15;134(2):162-72. doi: 10.1016/0002-9378(79)90881-0.
The diagnosis and management of endometriosis presents several enigmas. This review, of eight patients with endometriosis involving the urinary tract, from three large clinical services in the City of Los Angeles, highlights some very difficult problems. Not only diagnostic errors but also inappropriate conservatism and inadequate surveillance have led to compromised function, resection, and/or destruction of the kidneys, ureters, or bladder. The series indicates those findings which are likely to result in urinary tract destruction and points out those clinical situations in which delays or conservative management must be undertaken only with pressing indications and then only with continued and careful surveillance.
子宫内膜异位症的诊断和治疗存在诸多谜团。本文回顾了来自洛杉矶市三个大型临床机构的八例累及泌尿道的子宫内膜异位症患者，突出了一些非常棘手的问题。不仅诊断错误，而且不恰当的保守治疗和监测不足都导致了肾脏、输尿管或膀胱功能受损、切除和/或破坏。该系列病例指出了那些可能导致泌尿道破坏的发现，并指出了那些只有在有紧迫指征且随后持续进行仔细监测的情况下才必须进行延迟或保守治疗的临床情况。
