子宫内膜异位症生育力保护临床策略的思考  

Thoughts on clinical strategy for fertility protection in endometriosis

作　　者：孙金莉[1] 陈琼华[1] SUN Jin-li;CHEN Qiong-hua(Reproductive Medical Center&Obstetrics and Gynecology Department of the First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院妇产科,生殖医学科,国家妇产科疾病临床医学研究中心福建分中心,福建省生殖健康临床医学研究中心,厦门市妇科疾病研究与诊疗重点实验室,福建厦门361003

出　　处：《中国实用妇科与产科杂志》2022年第11期1088-1092,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：福建省科技创新平台建设计划项目(国家妇产科疾病临床医学研究福建省分中心,2021Y201020025);厦门市医学科研计划项目(3502Z20209001)。

摘　　要：子宫内膜异位症(简称内异症)是导致女性生育力下降的常见疾病。如何全程贯穿生育力保护的概念,并以此为抓手,为内异症患者制定合适的个体化综合治疗策略,从而最大限度改善治疗结局,一直是内异症治疗的难点和重点。文章就内异症的治疗困境、治疗模式的变迁进行总结分析,考量内异症治疗的核心价值,分析不同阶段的最优策略。提出内异症治疗应以年龄分层,以症状为导向,进行三级预防,以提高患者生活质量为核心,实施精准化的慢病全程管理模式。Endometriosis(EM for short)is a common disease that leads to the decline of female fertility.The way to fulfill the concept of fertility protection throughout the whole process,and the use of this as a starting point to formulate appropriate individualized comprehensive treatment strategies for patients with endometriosis so as to maximize the treatment outcome has always been the difficulty and the focus of endometriosis treatment.This paper summarizes and analyzes the treatment dilemma of endometriosis and the change of treatment mode,considers the core value of endometriosis treatment,and analyzes the optimal strategies at different stages.It is proposed that the treatment for endometriosis should be age-stratified,symptom-oriented,and coupled with three-level prevention,taking the improvement of patients’quality of life as the core,so that a precise whole-process management mode of chronic diseases can be carried out.

关 键 词：子宫内膜异位症 生育力保护 临床策略 

分 类 号：R711.71[医药卫生—妇产科学]