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目的：子宫内膜异位症是妇科常见病，不少病例有结肠受侵。本文旨在分析总结结、直肠子宫内膜异位症的双对比造影表现特点，以助于与结、直肠的其它疾患的鉴别。方法：对１７例手术、腹腔镜病理证实的子宫内膜异位症的钡灌肠异常表现进行了回顾性分析，其中５例无肠管受侵，仅单纯外压肠管，其余１２例均有肠管受侵，其中在横结肠腔内外形成肿块１例，围绕直肠扩展２例，直、乙状结肠浆、肌层与肿块粘连４例，粘膜下形成肿块５例。结果：结、直肠子宫内膜异位症钡灌肠表现有５种类型，其中过半数病例有粘膜下息肉样结节或肿块及局部粘膜皱缩。结论：结直肠子宫内膜异位症Ｘ线表现具有一定特征性，结合病史特点，Ｘ线可以提出诊断，但必须与转移瘤、盆腔炎症等鉴别。
Objective: Endometriosis is a common gynecological disease, many cases of colon involvement. The purpose of this paper is to analyze the characteristics of double contrast angiography of the conclusion and rectum endometriosis in order to help identify the other diseases of the knot and rectum. Methods: A retrospective analysis was performed on the abnormalities of barium enema in 17 cases of endometriosis confirmed by laparoscopic surgery. Among them, 5 cases had no bowel invasion, only external pressure was applied to the bowel. The other 12 cases had bowel In 1 case, mass was formed in the transverse colon and in 2 cases in the rectum. Stratified and sigmoid colon masses, muscularis mucosa and adhesions were found in 4 cases. Submucosal masses formed in 5 cases. Results: There were 5 types of barium enema in the endocervical endometriosis. Among them, more than half cases had submucosal polypoid nodules or lumps and local mucosal folds. Conclusion: X-ray findings of colorectal endometriosis has certain characteristics. Combined with the history of the disease, X-ray diagnosis can be made, but it must be differentiated from metastases and pelvic inflammatory disease.