输尿管子宫内膜异位症的治疗进展

摘要

输尿管子宫内膜异位症临床少见,症状隐匿,易漏诊而导致肾功能损害.治疗原则为切除病灶,解除梗阻,保护肾功能,防止复发.手术治疗是首选治疗方法,并配合以围手术期药物治疗.目前对于适宜的输尿管术式尚无定论,腹腔镜手术是今后输尿管子宫内膜异位症手术治疗的趋势.%Ureteral endometriosis is a rare entity and rather difficult to diagnose due to the frequent lack of signs or symptoms, which may lead to hydronephrosis and impaired renal function. The treatment is aiming at removing all endometriosis lesions, relieving obstruction, preserving renal function and preventing recurrence. Surgical approaches are first-line therapy in the management of ureteral endometriosis, accompanied with perioperative hormone medical treatment. The optimum management protocol for the condition remains unanswered. Laparoscopic approach is suggested to manage ureteral endometriosis in the future.