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[消化性子宫内膜异位症。当前概念]

[Digestive endometriosis. Current concepts].

作者信息

Caligaris P, Ducassou M J, Masselot R, Maurin B, Cardon J M, Bricot R

出版信息

J Chir (Paris). 1982 Dec;119(12):693-8.

PMID:6891703
Abstract

Endometriosis involving the digestive tract accounts for 1% of all cases of the disease. There is a marked predominance in the recto-sigmoid and terminal ileal loops. Symptomatology is dominated by disturbances in intestinal transit, sub-occlusion or acute obstruction, pain worsening at the time of menstruation and by a haemorrhagic rectal discharge again accompanying menstruation. Apart from classical aetiopathogenic theories such as grafting onto the digestive tract by tubal, lymph vessel or venous propagation, it would appear that prostaglandins and in particular a change in the (formula; see text) ratio may play a large role. Operative resection of localised stenosis combined with oophorectomy, if the latter is possible in view of the patient's age, or prolonged medical treatment with progestational agents or even better Danazol results in cure and avoids recurrences.

摘要

累及消化道的子宫内膜异位症占该疾病所有病例的1%。在直肠乙状结肠和回肠末端肠袢中明显更为常见。症状主要表现为肠道运输紊乱、不完全梗阻或急性梗阻、月经期间疼痛加剧以及伴随月经再次出现的直肠出血性分泌物。除了诸如通过输卵管、淋巴管或静脉传播移植到消化道等经典病因理论外,前列腺素,尤其是(公式;见正文)比例的变化似乎可能起很大作用。如果鉴于患者年龄可行,对局限性狭窄进行手术切除并结合卵巢切除术,或者用孕激素进行长期药物治疗,甚至更好的是用达那唑治疗,可实现治愈并避免复发。

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1
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J Chir (Paris). 1982 Dec;119(12):693-8.
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