Ureteral and Vesical Endometriosis Two Different Clinical Entities Sharing the Same Pathogenesis

Ureteral and Vesical Endometriosis Two Different Clinical Entities Sharing the Same Pathogenesis
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DOI:
10.1097/ogx.0b013e3181c4bc3a
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发表时间:
2009-12-01
影响因子:
6.2
通讯作者:
Fedele, Luigi
Fedele, Luigi
中科院分区:
医学3区
文献类型:
--
作者:
Berlanda, Nicola;Vercellini, Paolo;Fedele, Luigi

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输尿管或膀胱子宫内膜异位症病变影响约1%的子宫内膜异位症妇女。当缺乏特定症状时,诊断可能很困难。延误诊断可能会导致严重的发病率。对输尿管和膀胱子宫内膜异位症的情况有足够的了解,或者应该怀疑,再加上成像技术和腹腔镜手术的进步,可能会使这些疾病的治疗取得重大进展。对输尿管和膀胱子宫内膜异位症的发病机制、诊断和治疗进行综述,旨在提高临床医生的认识程度,并帮助制定适当的临床治疗计划,以应对对该疾病认识较少的方面。目标对象:妇产科医生、家庭医生学习目标:完成本教育活动后,学员应能够更好地解释输尿管和膀胱子宫内膜异位症的发病机制,回忆膀胱和输尿管子宫内膜异位症的临床表现和危险因素,总结膀胱和输尿管子宫内膜异位症的治疗策略。
Ureteral or vesical endometriotic lesions affect about 1% of women with endometriosis. The diagnosis may be difficult when specific symptoms are lacking. A delay in diagnosis can lead to significant morbidity. An adequate comprehension of the circumstances in which ureteral and vesical endometriosis present or,should be suspected, aided by advances in imaging techniques and laparoscopic surgery, may allow a significant progress in the treatment of these conditions. The pathogenesis, diagnosis, and treatment of ureteral and vesical endometriosis are reviewed, with the aim of increasing the degree of awareness of the clinicians and helping in devising an adequate clinical management plan for the lesser understood aspects of the disease.Target Audience: Obstetricians & Gynecologists, Family PhysiciansLearning Objectives: After completion of this educational activity, the participant should be better able to explain the most likely pathogenesis of ureteral and vesical endometriosis, recall the clinical presentation and risk factors for endometriosis of the bladder and ureter, and summarize treatment strategies for endometriosis of the bladder and ureter.