Department of Obstetrics, Gynecology and Neonatology, Fondazione Ospedale Maggiore Policlinico, Mangiagalli and Regina Elena, Milan, Italy.
Hum Reprod. 2010 Aug;25(8):1863-8. doi: 10.1093/humrep/deq141. Epub 2010 Jun 2.
Laparoscopy is the gold standard for the diagnosis of endometriosis. Although some forms of the disease, such as ovarian endometriomas or deep infiltrating lesions, can now be reliably diagnosed using non-invasive instruments, adhesions and superficial implants cannot be identified without surgery. Identification of these latter forms of the disease has been the main rationale for claiming the necessity to identify non-invasive diagnostic tests to detect endometriosis. In this opinion paper, we analyse the pros and cons of the availability of this kind of test in the current context of our knowledge of the disease. In particular, we emphasize that this instrument may be of benefit provided that the test is not used as a screening test.
腹腔镜检查是诊断子宫内膜异位症的金标准。虽然现在可以使用非侵入性仪器可靠地诊断某些形式的疾病，如卵巢子宫内膜异位囊肿或深部浸润性病变，但如果不进行手术，粘连和浅表植入物就无法识别。这些疾病的后一种形式的识别一直是主张有必要确定非侵入性诊断测试以检测子宫内膜异位症的主要理由。在本意见文中，我们分析了在我们对疾病的现有认识的背景下，这种测试的优缺点。特别是，我们强调指出，只有在不将该测试用作筛查测试的情况下，该仪器才可能有益。
