青春期子宫内膜异位症治疗策略  

Treatment strategies for endometriosis in adolescence.

作　　者：方小玲[1] 吴静妮 FANG Xiao-ling;WU Jing-ni(Department of Obstetrics and Gynecology,Second Xiangya Hospital,Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院妇产科,湖南长沙410011

出　　处：《中国实用妇科与产科杂志》2024年第5期509-513,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家自然科学基金面上项目(82271681);国家自然科学基金青年基金(82201821)。

摘　　要：青春期子宫内膜异位症(简称内异症)可引起青少年继发性痛经,其诊断和治疗常被延误,需警惕合并有生殖道畸形。5大类药物均可用于青春期内异症,但16周岁以下的青少年慎用促性腺激素释放激素激动剂(GnRH-a)。手术治疗需严格把握时机和指征,注意保护青少年卵巢功能。术后需辅助药物治疗。青春期内异症治疗应以患者为中心,遵从终身管理理念,依据个体化原则,综合制定治疗方案。Puberty endometriosis can cause secondary dysmenorrhea in adolescents,and its diagnosis and treatment are often delayed.It is necessary to be aware of complicated reproductive tract malformations.Five major classes of drugs can be used for adolescent endometriosis,GnRH-a should be used with caution in adolescents under 16 years of age.Surgical treatment should strictly grasp the timing and indications,and pay attention to the protection of adolescent ovarian function.Postoperative adjuvant drug therapy was required.The treatment of endometriosis in adolescence should be patient-centered,follow the concept of lifelong management,and develop a comprehensive plan based on the principle of individualization.

关 键 词：青春期子宫内膜异位症 痛经 卵巢子宫内膜异位囊肿 生殖道畸形 个体化 

分 类 号：R711.71[医药卫生—妇产科学]