Kim Jin Hee, Han Esther
Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York.
Semin Reprod Med. 2018 Mar;36(2):143-151. doi: 10.1055/s-0038-1676103. Epub 2018 Dec 19.
Endometriosis is a nonmalignant gynecologic disorder that can have a significant impact on a woman's quality of life with pelvic pain and possible lasting effects on one's fertility. Symptoms, when present, can be severe and affect many organ systems including the gastrointestinal and urinary systems. Other etiologies of pelvic pain must be ruled out and/or need to be addressed concurrently for optimal patient care. There are numerous medical and surgical treatment options available that have been shown to be beneficial for endometriosis-related pelvic pain. Recurrence is common when medications are discontinued and even after surgical therapy. Ultimately, the treatment approach will be dependent on the needs of the patient, taking into consideration the patient's desire for fertility, symptoms, past treatment, and patient preferences.
子宫内膜异位症是一种非恶性的妇科疾病，会对女性的生活质量产生重大影响，导致盆腔疼痛，并可能对生育能力产生持久影响。症状一旦出现，可能会很严重，影响包括胃肠道和泌尿系统在内的许多器官系统。为了实现最佳的患者护理，必须排除和/或同时处理盆腔疼痛的其他病因。有许多医学和手术治疗选择已被证明对与子宫内膜异位症相关的盆腔疼痛有益。停药后甚至手术治疗后复发都很常见。最终，治疗方法将取决于患者的需求，同时考虑患者的生育意愿、症状、既往治疗情况和患者偏好。
