深部浸润型子宫内膜异位症的治疗研究新进展  

Research Progress in the Treatment of Deep Infiltrating Endometriosis

作　　者：余贵媛 金平[1] 

机构地区：[1]南方医科大学附属深圳市妇幼保健院,广东省深圳市518028

出　　处：《国际妇产科学杂志》2017年第5期585-588,共4页Journal of International Obstetrics and Gynecology

基　　金：2015年深圳市科技计划项目基金(JCYJ20150402090412995);2015年深圳市卫生计生系统科研项目基金(201501034)

摘　　要：深部浸润型子宫内膜异位症(deep infiltrating endometriosis,DIE)是子宫内膜异位症(endometriosis,EMs)的一种特殊类型,其特指浸润深度≥5 mm的EMs病灶,可累及盆腔不同部位,主要位于后盆腔,如宫骶韧带、子宫直肠陷凹、阴道直肠隔和结直肠等。疼痛是其主要临床症状,且形式多样,包括痛经、慢性盆腔痛、深部性交痛及泌尿消化系统相关的疼痛等。目前DIE的治疗主要以手术为主,但手术困难、手术安全、术后并发症较难避免等均是非常棘手的问题。研究者据此提出的保留神经功能的病灶切除术,机器人辅助腹腔镜手术等方法正在被探究中。综述DIE的治疗研究新进展。Deep infiltrating endometriosis（DIE） is a special type of endometriosis（EMs）,which specifically refers to the infiltration depth of ≥ 5 mm of endometriosis lesions,involving in different parts of the pelvic cavity,mainly located in the posterior pelvic cavity,such as the uterosacral ligament,rectouterine pouch,vaginal septum,rectal colorectal etc.Pain is the main clinical symptoms with various forms,including dysmenorrhea,chronic pelvic pain,deep sexual pain and urinary system related pain.At present,the main treatment for DIE is the surgery,but the difficulty,safty,hard to avoid postoperative complications in the surgery are very difficult problems.According to the researchers,the methods of nerve sparing resection and robot assisted laparoscopic surgery are being explored.Therefore,the new research progress of the treatment of DIE is reviewed in this article.

关 键 词：子宫内膜异位症 妇科外科手术 治疗 深部浸润型子宫内膜异位症 

分 类 号：R711.71[医药卫生—妇产科学]