Menakaya Uche A, Rombauts Luk, Johnson Neil P
Department of Obstetrics and Gynecology, Calvary Public Hospital, ACT, Australia.
JUNIC Specialist Imaging and Women's Center, Canberra, ACT, Australia.
Aust N Z J Obstet Gynaecol. 2016 Oct;56(5):518-522. doi: 10.1111/ajo.12505. Epub 2016 Jul 28.
It has become necessary to re - examine the relevance of diagnostic laparoscopy in the two-stage approach to surgical management of symptomatic women with higher stage endometriosis following emerging evidence demonstrating acceptable diagnostic performance of alternative less invasive and less expensive imaging modalities. We highlight the relative merits of these presurgical diagnostic imaging modalities and propose strategies that address the challenge of transitioning to a new diagnostic paradigm in the management of symptomatic women with higher stage endometriosis.
鉴于新出现的证据表明，其他侵入性较小且成本较低的成像方式具有可接受的诊断性能，重新审视诊断性腹腔镜检查在有症状的晚期子宫内膜异位症女性手术治疗两阶段方法中的相关性已变得必要。我们强调了这些术前诊断成像方式的相对优点，并提出了应对在有症状的晚期子宫内膜异位症女性管理中向新诊断模式转变挑战的策略。
