Evers J L, Dunselman G A, Land J A, Bouckaert P X
Department of Obstetrics and Gynecology, Academisch Ziekenhuis Maastricht, The Netherlands.
Br J Clin Pract Suppl. 1991 Autumn;72:45-50; discussion 51-3.
Endometriosis may be either symptomatic or asymptomatic. Recurrence rates are mostly calculated on the basis of symptomatic patients re-presenting to their doctor. Based on the number of patients who experience recurrence of symptoms after medical or surgical therapy, recurrence rates of up to 45% after five years have been calculated. Whether the symptoms are due to real recurrence of disease or expanding, previously microscopic, endometriotic implants has not yet been established. Therapy should be tailored to the patient's complaints, but does not necessarily have to differ from that in patients with primary disease.
子宫内膜异位症可能有症状，也可能无症状。复发率大多是根据再次就医的有症状患者计算得出的。根据接受药物或手术治疗后出现症状复发的患者数量，计算出五年后的复发率高达45%。症状是由于疾病真正复发还是先前微小的子宫内膜异位种植灶扩大所致，目前尚未明确。治疗应根据患者的主诉进行调整，但不一定与原发性疾病患者的治疗方法不同。
