Clinical Management of Endometriosis
Clinical Management of Endometriosis
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DOI：
10.1097/aog.0b013e31822adfd1
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发表时间：
2011-09-01
影响因子：
7.2
通讯作者：
Lebovic, Dan I.
中科院分区：
文献类型：
--
作者：
Falcone, Tommaso;Lebovic, Dan I.
子宫内膜异位症是一种比较常见的慢性妇科疾病，通常表现为慢性盆腔疼痛或不孕。这种疾病的社会影响在金钱成本和生活质量方面都是巨大的。这种疾病的诊断只能通过外科手术来确定。手术干预可以提高生育能力，但药物抑制治疗除了体外受精外没有作用。辅助生殖技术与良好的结果相关。卵巢囊肿的处理特别复杂，因为手术干预可能会降低卵巢储备。药物和手术治疗盆腔炎相关的慢性盆腔疼痛是有效的，在短期内。复发是常见的两种模式。手术干预后的复发率可以通过使用术后抑制性药物治疗（如激素避孕药）来降低。本文介绍了不同类型的腹膜疾病发现子宫内膜异位症患者。用于安全和完全消除疾病的技术进行了讨论。累及的具体区域包括盆腔侧壁、膀胱陷凹和膀胱腹膜。（妇产科2011;118：691-705）DOI：10.1097/AOG.0b013e31822adfd1
Endometriosis is a relatively common chronic gynecologic disorder that usually presents with chronic pelvic pain or infertility. The societal effect of this disorder is enormous both in monetary costs and in quality of life. The diagnosis of the disease can only be definitively made with surgical intervention. Fertility may be enhanced with surgical intervention, but medical suppressive therapy has no role apart from in vitro fertilization. Assisted reproductive technology is associated with excellent outcomes. Management of endometriomas is particularly complex because surgical intervention may reduce ovarian reserve. Both medical and surgical treatment of endometriosis-associated chronic pelvic pain are effective in the short-term. Recurrence is common with both modalities. Recurrence after surgical intervention can be decreased with the use of postoperative suppressive medical therapy such as hormonal contraceptives. This article presents the different types of peritoneal disease found in endometriosis patients. The technique used to safely and completely remove the disease is discussed. The specific areas of involvement include the pelvic side wall, the cul-de-sac, and bladder peritoneum. (Obstet Gynecol 2011;118:691-705) DOI: 10.1097/AOG.0b013e31822adfd1