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目的:提高对膀胱子宫内膜异位症诊治的认识。方法:报告1例窄带成像电切镜治疗膀胱子宫内膜异位症患者的临床资料并结合文献讨论有关临床症状,诊断和治疗。结果:术后病理为(膀胱)子宫内膜异位症。免疫组化检测显示CD10+,CK7+,CK20-,ER+,PR+。术后随访半年,恢复良好。结论:膀胱子宫内膜异位症较为罕见,其临床和影像学表现与膀胱肿瘤难以鉴别,主要靠病理学结果确诊。而窄带成像电切镜对鉴别诊断及治疗膀胱子宫内膜异位症有重要价值。
Objective: To improve the diagnosis and treatment of bladder endometriosis. Methods: One case of narrow band imaging resectoscope for bladder endometriosis patients clinical data and literature review of the clinical symptoms, diagnosis and treatment. Results: Postoperative pathology was (bladder) endometriosis. Immunohistochemistry showed that CD10 +, CK7 +, CK20-, ER +, PR +. Follow-up for six months after surgery, recovery was good. Conclusion: Bladder endometriosis is rare, its clinical and radiological manifestations are difficult to distinguish with bladder tumors, mainly confirmed by pathological findings. Narrowband imaging resectoscope has important value in the differential diagnosis and treatment of bladder endometriosis.