Rev Med Suisse. 2014 Oct 22;10(447):1977-8, 1980-4.
Endometriosis is a frequent, benign, chronic disease associated with pain and/or infertility. Classically the lesions are found on the pelvic peritoneum, ovary (endometrioma), rectovaginal septum and bladder. Management of endometrioma has evolved over the last few years to individualised treatment. Indeed endometrioma cystectomy can decrease pain and the risk of recurrence but is also associated with a decrease in ovarian reserve. A multi-disciplinary team should manage recto-vaginal or bladder endometriosis. Surgical resection of these lesions must be as complete as possible and can be complex.
子宫内膜异位症是一种常见的良性慢性疾病，与疼痛和/或不孕有关。经典的病变部位见于盆腔腹膜、卵巢（子宫内膜异位囊肿）、直肠阴道隔和膀胱。在过去几年中，子宫内膜异位囊肿的治疗已发展为个体化治疗。事实上，子宫内膜异位囊肿切除术可以减轻疼痛并降低复发风险，但也会导致卵巢储备功能下降。对于直肠阴道或膀胱子宫内膜异位症，应由多学科团队进行管理。这些病变的手术切除必须尽可能彻底，且可能较为复杂。
