Adenomyosis: difficult to diagnose, and difficult to treat.
Adenomyosis: difficult to diagnose, and difficult to treat.
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DOI：
10.1155/dte.7.89
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发表时间：
2001-01-01
期刊：
影响因子：
--
通讯作者：
Wood, C
中科院分区：
文献类型：
--
作者：
Wood, C
药物治疗可能有效控制症状，但子宫内膜异位症的频繁共存以及缺乏对照研究使其疗效难以量化。达那唑宫内节育器已被证明可以减轻症状。包括子宫内膜消融、腹腔镜子宫肌层电凝或切除在内的保守手术已被证明对超过 50% 的患者有效，但随访仅限三年。子宫动脉栓塞术是一种新技术，可以在考虑子宫切除术之前尝试。对于严重的子宫腺肌症病例，可能仍然需要进行子宫切除术。
Drug therapy may be effective in controlling symptoms but the frequent coexistence of endometriosis and the lack of controlled studies make their efficacy difficult to quantify. Danazol IUD has been shown to reduce symptoms. Conservative surgery involving endomyometrial ablation, laparoscopic myometrial electrocoagulation or excision has proven to be effective in more than 50% of patients, although follow up has been restricted to three years. Arterial uterine artery embolization is a new technique which may be tried before considering hysterectomy. Hysterectomy may still be necessary in severe cases of adenomyosis.