Seifert B, Kaltwasser P, Bettzieche H
Zentralbl Gynakol. 1987;109(5):305-9.
Endometriosis is one of the most frequent diseases in connection with female sterility, 3.2 per cent endometriosis was diagnosed in all operative cases from 1964 to 1984 but in all cases of sterility there were 10.8 per cent. Essentially these were cases of severe endometriosis genitalis externa (78.6 per cent) according to the Acosta-classification. The rate of recoquition of endometriosis as a possible reason for sterility has been increased from 2.4 per cent to 9.9 per cent since the general introduction of laparoscopy into the diagnosis of hitherto unsolved cases of sterility in 1980. A combined laparoscopic-hormonal therapy pattern is presented here. A corrected pregnancy rate below 30% after endometriosis therapy indicates that there are much more possibilities for therapy of this diseases.
子宫内膜异位症是与女性不育相关的最常见疾病之一。1964年至1984年期间,在所有手术病例中,3.2%被诊断为子宫内膜异位症,但在所有不育病例中,这一比例为10.8%。根据阿科斯塔分类法,基本上这些都是严重的外阴子宫内膜异位症病例(78.6%)。自1980年腹腔镜检查普遍用于诊断此前未解决的不育病例以来,将子宫内膜异位症视为不育可能原因的认知率已从2.4%提高到9.9%。本文介绍了一种腹腔镜-激素联合治疗模式。子宫内膜异位症治疗后校正妊娠率低于30%,这表明该疾病还有更多的治疗可能性。