Zorn J R
Clinique universitaire Baudelocque, Paris.
Rev Prat. 1990 Apr 21;40(12):1097-9.
The causal treatment of endometriosis is based on the fact that the disease is hormone-dependent. As it has been well established that endometriotic lesions heal at the end of pregnancy or after menopause, the principle of medical treatment is to imitate the effects of one or the other of these two situations by means of oestrogen-progestogen combinations, high-dose progestogen therapy or, more recently, analogues of LH-RH agonists. These treatments have proved to be effective on the lesions but they do not prevent recurrences. The indications of medical treatments administered alone or combined with surgery are still much debated.
子宫内膜异位症的病因治疗基于该疾病依赖激素这一事实。鉴于已充分证实子宫内膜异位病变在妊娠结束时或绝经后会愈合，药物治疗的原则是通过雌激素 - 孕激素联合用药、大剂量孕激素疗法或最近使用的促黄体生成素释放激素（LH - RH）激动剂类似物来模拟这两种情况中的一种的效果。这些治疗已被证明对病变有效，但不能预防复发。单独使用或与手术联合使用的药物治疗指征仍存在诸多争议。
