[Objective] To investigate the effect of endourological treatment of ureteral stenosis following ureteral endometrial endometriosjs surgery. [Methods] From February 2005 to April 2011, eight cases suffered from ureteral endometriosis received gynecological and urological surgery treatment at different times, while ureter obstruction was noted in the follow up. These cases were treated with dilation using fascia dilators, balloon dilatation, cutting with Ho: YAG laser, and one or two JJ stent was indwelled for 2-6 months. [Results] One cases received dilation with fascia dilators, three cases with balloon dilatation, four cases with ureteroscopic Ho: YAG laser cutting, they were all successful. All 8 patients were followed up for 6-27 months, hydronephrosis reduced or disappeared under ultra-sonography, and intravenous pyelography showed the target ureter was smooth. [Conclusion] For patients with ureteral stenosis following ureteral endometrial endometriosis surgery, endourological treatment of dilation and cutting with Ho: YAG laser was safe, effective without complication.%目的 探讨输尿管子宫内膜异位症手术治疗后输尿管再狭窄的腔内泌尿外科治疗方法的有效性.方法 2005年2月～2011年4月收治的8例曾患输尿管子宫内膜异位症的患者,均经过妇科和泌尿外科的不同手术方法治疗,术后不同时间检查发现病侧输尿管再次狭窄,导致梗阻出现肾积水.分别采用筋膜扩张器扩张、气囊扩张、钬激光切割的腔内治疗方法,术后置入单条或2条双J管,留置时间2～6个月.结果 1例经筋膜扩张器扩张、3例经气囊扩张、4例经输尿管镜下钬激光切割治疗成功.8例患者术后随访6～27个月,超声检查肾积水减轻或消失,静脉肾盂造影显示病侧输尿管通畅.结论 对于输尿管子宫内膜异位症手术治疗后出现输尿管再次狭窄的患者,采用腔内泌尿外科治疗方法予以狭窄段扩张或钬激光切割治疗安全、有效,无并发症.
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