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输尿管子宫的
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     Ectopic Ureteral Oriffice (6 Case Report)
     输尿管异位开口
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     Transperitoneal laparoscopic uretero-ureter anastomosis
     腹腔镜输尿管吻合术
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     THE LYMPHATIC DRAINAGE OF THE UTERUS
     子宫的淋巴流向
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     THE ACTION OF LYCORINE HYDROCHLORIDE ON THE UTERUS
     石蒜碱对子宫的作用
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  ureterouterine
Endourologic diagnosis and treatment of ureterouterine fistula
      
A rare case of ureterouterine fistula following a dilatation and evacuation for elective abortion is presented.
      
The right ureterouterine fistula was not diagnosed until an antegrade pyelogram was undertaken.
      
It was concluded that the ureterouterine fistula was most likely caused by the lateral path of abortion instruments into the retroperitoneal space, with trauma to the right ureter.
      
Diagnosis and Management of Post-cesarean Ureterouterine Fistulae
      
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Objective:To study the diagnosis and treatment of ureteral endometriosis. Methods:Three cases of ureteral endometriosis were analyzed. In addition, related literatures from Medline and Chinese journals were reviewed. Results:One case was mixed type of ureteral endometriosis. Because the unilateral upper urinary tract was obstructed severely, the patient was given operation of removal of local lesion and end-to-end ureteral anastomosis. Hormone therapy was used after surgery. The other two patients were extrinsic...

Objective:To study the diagnosis and treatment of ureteral endometriosis. Methods:Three cases of ureteral endometriosis were analyzed. In addition, related literatures from Medline and Chinese journals were reviewed. Results:One case was mixed type of ureteral endometriosis. Because the unilateral upper urinary tract was obstructed severely, the patient was given operation of removal of local lesion and end-to-end ureteral anastomosis. Hormone therapy was used after surgery. The other two patients were extrinsic pattern of ureteral endometriosis. After hormone therapy, double "J" catheter was inserted in one patient. Conclusion:Early detection and prompt treatment of ureteral endometriosis can relieve symptoms, preserve renal function, and improve the prognosis.

目的:探讨输尿管子宫内膜异位症诊断和治疗中应注意的问题。方法:总结3例输尿管子宫内膜异位症临床资料和随访结果,复习国内外文献报道,进行分析讨论。结果:1例为混合型输尿管子宫内膜异位症,因梗阻严重行病灶切除输尿管端端吻合术,术后配合内分泌治疗。2例为腔外型,内分泌治疗效可,其中1例配合输尿管支架管置入术。结论:争取早期发现输尿管子宫内膜异位症,在保护肾功能的前提下制订适宜的治疗方案。

Objective: To report the diagnosis and treatment of ureteral endometriosis. Methods: 5 cases

目的 探讨子宫内膜异位症引起输尿管狭窄的临床表现及治疗方案。方法 回顾性分析1990~2000年间收治的输尿管子宫内膜异位症5例。结果 所有病例均表现为患例肾脏及上段输尿管积水。术前诊断明确者3例。4例行输尿管病灶切除、输尿管膀胱再植术。其中3例患侧肾积水消退,肾脏排泄功能恢复正常:1例肾积水无明显好转。另1例行患侧肾脏及输尿管切除术,术后临床症状消失。结论 输尿管子宫内膜异位症多数发展为隐匿性肾功能受损,IVU、RPG、MRU可发现肾积水及病灶部位。对于腔内型和混和型输尿管子宫内膜异位症建议输尿管镜取活检术前明确病理。治疗需切除病变输尿管,行输尿管膀胱再植术或输尿管吻合术。若肯定患侧肾功能已完全消失者,行患例肾脏和输尿管切除。以上治疗的同时需行卵巢切除,有生育要求者保留卵巢而行内分泌治疗。

Objective: To determine the diagnosis and treatment of ureteral endometriosis. Methods:4 cases of ureteral endometriosis were reported, and the literature of ureteral endometriosis was presented. The diagnostic and therapeutic aspects of ureteral stenosis due to endometriosis was reviewed.Results:The(24/26) patients due to ureteral endometriosis presented low-back pain or disorder. During the treatment associated with endourology, The outcome was excellent with low postoperative morbidity.Conclusion:Only a high...

Objective: To determine the diagnosis and treatment of ureteral endometriosis. Methods:4 cases of ureteral endometriosis were reported, and the literature of ureteral endometriosis was presented. The diagnostic and therapeutic aspects of ureteral stenosis due to endometriosis was reviewed.Results:The(24/26) patients due to ureteral endometriosis presented low-back pain or disorder. During the treatment associated with endourology, The outcome was excellent with low postoperative morbidity.Conclusion:Only a high index of suspicion may help to reduce the number of alarming nephrectomies associated to this condition.

目的 :探讨输尿管子宫内膜异位症的诊断和治疗。方法 :报告4例输尿管子宫内膜异位症的临床资料 ,复习相关输尿管子宫内膜异位症报道。结果 :国内26例 (包括本组4例 )输尿管子宫内膜异位症病人 ,就诊时24例出现患侧腰背部疼痛或不适 ,其中3例与病人月经周期有关 ;10例出现血尿 ;4例月经紊乱、痛经。结论 :需要提高对输尿管子宫内膜异位症认识 ,以便对患此病病人早期诊断 ,及早期治疗。

 
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