直肠阴道隔子宫内膜异位症的腹腔镜手术治疗

目的:探讨腹腔镜手术治疗直肠阴道隔子宫内膜异位症的方法。方法:回顾分析8例直肠阴道隔子宫内膜异位症患者的临床资料。结果:7例行腹腔镜手术,1例行腹腔镜+阴式手术。切除病灶经病理检查证实为直肠阴道隔子宫内膜异位症。随诊最长2年,完整切除病灶者预后良好,未能完整切除病灶者症状、病灶持续存在。结论:直肠阴道隔子宫内膜异位症以痛经、肛门坠痛、性交痛、慢性盆腔痛、腰背部疼痛为主要临床表现,必须进行三合诊和阴道超声检查。手术是主要的治疗手段,腹腔镜或腹腔镜+阴式的手术方法值得应用。

The approach of laparoscopic operation to treat rectovaginal septum endometriosis

Objective:To investigate the approach of laparoscopic operation to treat rectovaginal septum endometriosis.Methods:The clinical data of 8 cases with rectovaginal septum endometriosis were analyzed retrospectively.Results:Seven patients were treated by laparoscopic surgery.1 patient underwent laparoscopic-assisted transvaginal rectovaginal septum nodus resection.The focuses were verified to be rectovaginal septum endometriosis by pathology.The longest follow-up was 2 years.The patients with complete focus ablation had good prognosis,while the patients with incomplete focus abbation had long existence of symptoms.Conclusions:The patients have symptoms such as dysmenorrhea,anus tenesmus,algopareunia and chronic pelvic pain,and must be examined by vagino-recto-abdominal examination and ultrasonic inspection.Operation is the main therapeutic method.The laparoscopic operation and laparoscopic-assisted transvaginal operation are deserved to be applied.