结、直肠子宫内膜异位症X线诊断

目的：子宫内膜异位症是妇科学常见病，不少病例有结肠受侵，本文旨在分析总结结，直肠子宫内膜异位症的双对比造影表观特点，以助于与结，直肠的其它疾患的鉴别，方法；对１７例手术，腹腔镜病理证实的子宫内膜异位症的钡灌肠异常表现进行了回顾性分析，其中５例无肠管受侵，仅单纯外压肠管，其余１２例均有肠管受侵，其中在横结肠腔内外形成肿块１例，围绕直肠扩展２例，直，乙状结肠浆，肌层与肿块粘连４例，粘膜下形成肿块５例，

X-ray Diagnosis of Rectacolonic endometriosis

Purpose: To increase the polity to recognize the characteristic X-ray features of rectacolonic endometriosis.Methods: The radiographic appearance on barium enema in 17 patients with endometriosis were reviewed and correlated withthose at surgical and lampscopic examination. In five patients, purely extrinsic mass effect was identified, bowel wall involvement in these cases was not present at laparoscopy. 12 patients have bowel involement. Results: Radiographic findings wereclassified into five type. These include a crenulated mucosal pattern, polypoid mass extending into the colonic lumen, shortaunular lesions, and long funnel-shaped areas of narrowing. The most common finding is a mucosal crenulation associated with aextramucosal mass. Conclusion: A characteristic funding of rectacolonic endmetroisis could be well demonstrated on the doublecontrast enema, this would help to differentiate endometriosis from other lesions of the large bowel.