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手术与子宫内膜异位症

Surgery and Endometriosis.

作者信息

Zanelotti Austin, Decherney Alan H

机构信息

*Department of OB/GYN, University of Miami/Jackson Memorial Hospital, Miami, Florida †NICHD/NIH, Bethesda, Maryland.

出版信息

Clin Obstet Gynecol. 2017 Sep;60(3):477-484. doi: 10.1097/GRF.0000000000000291.

DOI:10.1097/GRF.0000000000000291
PMID:28742580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5635831/
Abstract

Care of the endometriosis patient today can be complex and difficult. Once medical management has been exhausted and symptoms persist patients desire further treatment options. This chapter takes an evidence-based approach at discussion of patient surgcical options for treatment of endometriosis symptoms. Surgical techniques, success rates, patient satisfaction, and risks must be discussed and understood at depth before planning patient surgical intervention. This chapter provides reference to current surgical management options and symptom relief following those interventions.

摘要

如今,子宫内膜异位症患者的护理可能复杂且困难。一旦药物治疗用尽而症状仍持续,患者就会寻求进一步的治疗选择。本章采用循证方法来探讨治疗子宫内膜异位症症状的患者手术选择。在规划患者手术干预之前,必须深入讨论并理解手术技术、成功率、患者满意度和风险。本章提供了当前手术管理选项以及这些干预措施后症状缓解情况的参考。

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本文引用的文献

1
Impact of Laparoscopic Surgical Management of Deep Endometriosis on Pregnancy Rate.腹腔镜手术治疗深部子宫内膜异位症对妊娠率的影响
J Minim Invasive Gynecol. 2016 Jan;23(1):113-9. doi: 10.1016/j.jmig.2015.09.015. Epub 2015 Sep 30.
2
An Update on Surgical versus Expectant Management of Ovarian Endometriomas in Infertile Women.不孕女性卵巢子宫内膜异位囊肿手术治疗与期待治疗的最新进展
Biomed Res Int. 2015;2015:204792. doi: 10.1155/2015/204792. Epub 2015 Jul 9.
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Recurrences and fertility after endometrioma ablation in women with and without colorectal endometriosis: a prospective cohort study.有和没有结肠直肠子宫内膜异位症的女性在子宫内膜异位囊肿消融后的复发情况及生育能力:一项前瞻性队列研究。
Hum Reprod. 2015 Mar;30(3):558-68. doi: 10.1093/humrep/deu354. Epub 2015 Jan 7.
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To excise or ablate endometriosis? A prospective randomized double-blinded trial after 5-year follow-up.切除还是消融子宫内膜异位症?一项5年随访后的前瞻性随机双盲试验。
J Minim Invasive Gynecol. 2014 Nov-Dec;21(6):999-1004. doi: 10.1016/j.jmig.2014.04.002. Epub 2014 Apr 24.
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Laparoscopic surgery for endometriosis.子宫内膜异位症的腹腔镜手术
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Enhanced follicular recruitment and atresia in cortex derived from ovaries with endometriomas.内异症来源的卵巢皮质中滤泡募集和闭锁增强。
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The impact of laparoscopic cystectomy on ovarian reserve in patients with unilateral and bilateral endometriomas.腹腔镜囊肿切除术对单侧和双侧子宫内膜异位症患者卵巢储备功能的影响。
Fertil Steril. 2014 Feb;101(2):427-34. doi: 10.1016/j.fertnstert.2013.10.019. Epub 2013 Nov 20.
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Combined surgical and hormone therapy for endometriosis is the most effective treatment: prospective, randomized, controlled trial.手术联合激素治疗子宫内膜异位症是最有效的治疗方法:前瞻性、随机、对照试验。
J Minim Invasive Gynecol. 2013 Jul-Aug;20(4):473-81. doi: 10.1016/j.jmig.2013.01.019. Epub 2013 Apr 6.
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Surgical strategy in endometriosis.子宫内膜异位症的手术策略。
Best Pract Res Clin Obstet Gynaecol. 2013 Jun;27(3):381-92. doi: 10.1016/j.bpobgyn.2012.12.003. Epub 2013 Jan 20.
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