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大肠子宫内膜异位症的外科治疗(作者译)

[Surgical treatment of endometriosis of the large intestine (author's transl)].

作者信息

Meyer W, Sailer R, vd Horst W, Lenz D, Breuer W

出版信息

MMW Munch Med Wochenschr. 1980 Mar 21;122(12):415-8.

PMID:6769002
Abstract

Endometriosis is a sufficiently common disease that should always be considered in the differential diagnosis of colon lesions in women of child bearing age. Six selected cases illustrate problems of diagnosis and management of endometriosis of the colon. Characteristics of colon endometriosis are typical large-bowel symptoms such as colicky pains and hemorrhage usually situated in the sigmoid and rectosigmoid region, extramucosal radiologic appearance of a marked smooth-walled stenosis, and the difficult endoscopic and histological preoperative diagnosis. Suspected malignancy and the presence of the symptoms of a colon lesion are indications for bowel resection, which is an effective form of therapy.

摘要

子宫内膜异位症是一种相当常见的疾病,在育龄期女性结肠病变的鉴别诊断中应始终予以考虑。六个精选病例说明了结肠子宫内膜异位症的诊断和管理问题。结肠子宫内膜异位症的特征是典型的大肠症状,如绞痛和出血,通常位于乙状结肠和直肠乙状结肠区域,黏膜外放射学表现为明显的光滑壁狭窄,以及术前内镜和组织学诊断困难。怀疑有恶性肿瘤以及存在结肠病变症状是行肠切除术的指征,肠切除术是一种有效的治疗方式。

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