盆腔后部深部浸润型子宫内膜异位症的处理策略  

Treatment strategies for deep infiltrating endometriosis at posterior part of the pelvis

作　　者：冷金花[1] 董喆[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院妇产科,北京100730

出　　处：《中国实用妇科与产科杂志》2009年第9期660-662,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：深部浸润型子宫内膜异位症(DIE)是指病灶浸润到腹膜下深度≥5mm的内异症,多位于后盆腔,表现为宫骶韧带变粗、缩短和结节,子宫直肠陷凹变浅或者消失,直肠窝深部或者阴道直肠隔结节。可导致痛经、慢性盆腔疼痛及性交痛等症状。手术治疗是主要的治疗方法,病灶完全切净症状缓解率高,复发率低,但手术并发症发生率高。药物治疗是重要的辅助治疗措施,术后药物治疗可以延长复发时间。Deep infiltrating endometriosis （DIE） is defined as endometriosis lesions penetrating into retroperitoneal space for a distance of 5 mm or more. Most of DIE lesions are located at posterior part of the pelvis, which usually manifest as thickening, shortening or nodules of utero - sacral ligaments, nodules of cul - de sac orrecto - vaginal space with or without the obliteration of cul - de sac. DIE is responsible for painful symptoms including dysmenor- rhea, chronic pelvic pain （CPP） or dyspareunia. Surgical resection is the primary treatment and higher pain relief rate are associated with complete resection. Postoperative medical treatment may delay recurrence.

关 键 词：子宫内膜异位症 深部浸润型子宫内膜异位症 

分 类 号：R71[医药卫生—妇产科学]