子宫内膜异位症的早期诊断和治疗  

Early diagnosis and treatment of endometriosis.

作　　者：彭超[1] 黄艳[1] 周应芳[1] PENG Chao;HUANG Yan;ZHOU Ying-fang(Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院妇产科,北京100034

出　　处：《中国实用妇科与产科杂志》2024年第5期485-489,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划(2022YFC 2704004)。

摘　　要：子宫内膜异位症(简称内异症)是育龄期女性的常见病,是一种雌激素依赖的慢性炎症性疾病,引发女性疼痛、不孕、结节或包块等一系列症状,严重威胁女性健康。以往临床过多依赖于腹腔镜手术诊断,使得很多早期患者未能得到恰当的诊断而延误治疗,内异症延迟诊断的问题普遍存在,延迟诊断会对卵巢储备功能造成进行性的损害,降低女性的生育力。因此,应重视子宫内膜异位症的临床诊断,尽早开启经验性药物治疗,以缓解疼痛、控制疾病发展。药物治疗是子宫内膜异位症长期管理、预防复发、保护生育力的关键,手术治疗需结合患者的生育愿望、卵巢储备功能等综合决策,鼓励多学科会诊,术中精细操作保护卵巢组织,做好长期管理,保护女性生育力。Endometriosis is a common disease in women of reproductive age.It is a chronic inflammatory disease dependent on estrogen,which causes a series of symptoms such as pain,infertility,nodules or masses in women,and seriously threatens women's health.In the past,too much clinical reliance on laparoscopic surgery diagnosis led to many early patients failing to get proper diagnosis and delayed treatment.The problem of delayed diagnosis of endometriosis is common,and delayed diagnosis will cause progressive damage to ovarian reserve function and reduce female fertility.Therefore,attention should be paid to the clinical diagnosis of endometriosis,and empirical drug treatment should be started as early as possible to re⁃lieve pain and control the development of the disease.Drug treatment is the key to the long-term management of endometriosis,preventing recurrence and protecting fertility.Surgical treatment should be combined with the patient's reproductive desire and ovarian reserve function,encourage multidisciplinary consultation,and protect ovarian tissue with fine intraoperative opera⁃tions,so as to do a good job in long-term management and protect female fertility.

关 键 词：子宫内膜异位症 生育力保护 早期诊断 早期治疗 

分 类 号：R711.71[医药卫生—妇产科学]