Wood C
Endometriosis Care Centre of Australia Monash IVF Monash University Melbourne Victoria Australia.
Diagn Ther Endosc. 2001;7(2):89-95. doi: 10.1155/DTE.7.89.
Drug therapy may be effective in controlling symptoms but the frequent coexistence of endometriosis and the lack of controlled studies make their efficacy difficult to quantify. Danazol IUD has been shown to reduce symptoms. Conservative surgery involving endomyometrial ablation, laparoscopic myometrial electrocoagulation or excision has proven to be effective in more than 50% of patients, although follow up has been restricted to three years. Arterial uterine artery embolization is a new technique which may be tried before considering hysterectomy. Hysterectomy may still be necessary in severe cases of adenomyosis.
药物治疗可能对控制症状有效，但子宫内膜异位症常常并存且缺乏对照研究，使得其疗效难以量化。已证实达那唑宫内节育器可减轻症状。包括子宫内膜肌层剥除术、腹腔镜下子宫肌层电凝术或切除术在内的保守手术已被证明在超过50%的患者中有效，尽管随访时间限制在三年。子宫动脉栓塞术是一种新技术，在考虑子宫切除术之前可以尝试。在子宫腺肌病的严重病例中，子宫切除术可能仍然是必要的。
