Ballanger P, Mage P, Tauzin-Fin P, Ballanger R
Ann Urol (Paris). 1984 Dec;18(6):420-3.
The authors report two new cases of endometriosis of the ureter, one affecting the pelvic ureter as part of a locoregional disorder, and the other, more unusual, affecting the lumbar ureter and apparently isolated. Both patients were treated surgically: one with ureterovesical reimplantation in a psoic ureter, and the other by resection and anastomosis after ureterolysis, because the diagnosis was only made postoperatively on the basis of the anatomicopathological images. Details concerning this rare localization of endometriosis are given on the basis of a review of the literature. Diagnosis is difficult. Space is given to a discussion of the recent possibilities of medical treatment; the results, however, are dependent on the anatomicopathological characteristics of the lesion. The patient must therefore be followed closely to avoid functional loss of the kidney, which can be avoided by appropriate surgical means.
作者报告了两例输尿管子宫内膜异位症的新病例,一例影响盆腔段输尿管,是局部区域疾病的一部分,另一例更不常见,影响腰段输尿管且显然是孤立性的。两名患者均接受了手术治疗:一名患者行腰段输尿管膀胱再植术,另一名患者在输尿管松解术后行切除术和吻合术,因为诊断仅在术后根据解剖病理学图像做出。基于文献综述给出了关于这种罕见的子宫内膜异位症定位的详细信息。诊断困难。文中对近期药物治疗的可能性进行了讨论;然而,结果取决于病变的解剖病理学特征。因此,必须密切随访患者以避免肾脏功能丧失,而通过适当的手术方法可以避免这种情况。