深部浸润型子宫内膜异位症的治疗进展  

Progress in the Treatment of Deep Infiltrating Endometriosis

作　　者：刘小庆 罗永红[2] 

机构地区：[1]皖南医学院研究生院,安徽芜湖241000 [2]皖南医学院弋矶山医院妇产科

出　　处：《沈阳医学院学报》2017年第6期519-523,共5页Journal of Shenyang Medical College

摘　　要：深部浸润型子宫内膜异位症(deep infiltrating endometriosis,DIE)指子宫内膜异位病灶浸润到腹膜下深度≥5mm,是子宫内膜异位症的一种特殊类型。DIE病灶多位于后盆腔,常累及肠道、膀胱、输尿管等重要脏器,疼痛和不孕是其主要症状。DIE的诊断需要结合病史、妇科检查以及影像学检查结果综合判断。DIE首选手术治疗,可缓解症状,提高患者生存质量,但并发症多。DIE患者药物治疗效果欠满意,术后辅助用药可降低复发率。Deep infiltrating endometriosis(DIE),a particular clinical and histological entity of endometriosis,is defined as the presence of endometrial-like glands and stroma more than 5 mm under the peritoneum. DIE lesions are significantly more often located in the posterior pelvic compartment,and oftern invade the intestinal tract,bladder and ureter. Pain and infertility are the main symptoms of DIE. The diagnosis of DIE need to be determined by the comprehensive analysis of the symptoms of pain and infertility,gynecological examination and imaging test. Surgical resection is the preferred treatment of DIE,can relieve symptoms and improve the life quality of patients,but with some complications. The effect of the drug on endometriotic lesions is less satisfactory,while postoperative drug therapy can ruduce the recurrence rate of DIE.

关 键 词：子宫内膜异位症 深部浸润型 手术治疗 药物治疗 

分 类 号：R711.71[医药卫生—妇产科学]