Burla Laurin, Fink Daniel, Imesch Patrick
Klinik für Gynäkologie, Universitätsspital Zürich.
Praxis (Bern 1994). 2020 Jul;109(9):725-730. doi: 10.1024/1661-8157/a003481.
Deep Infiltrating Endometriosis - a Systematic Approach to Diagnostics and Surgery Planning Although endometriosis is a common gynaecological clinical picture in women of reproductive age, diagnosis and therapy often begin late after the onset of symptoms. The explanation probably lies on the one hand in the manifold manifestations, the diffuse complaints and the unfortunately rather low awareness of this pathology. On the other hand, the diagnostic procedure itself represents a challenge. In particular, the deeply infiltrating form of endometriosis is a severe form, which often requires surgical therapy. A systematic approach using MRI imaging and preoperative classification using Enzian classification can facilitate the procedure and simplify therapy planning.
深部浸润型子宫内膜异位症——诊断与手术规划的系统方法 尽管子宫内膜异位症是育龄期女性常见的妇科临床表现，但诊断和治疗往往在症状出现后很久才开始。原因一方面可能在于其表现形式多样、症状弥漫，且不幸的是对这种疾病的认知度相当低。另一方面，诊断过程本身就是一项挑战。特别是深部浸润型子宫内膜异位症是一种严重的类型，通常需要手术治疗。使用MRI成像的系统方法以及采用恩齐安分类法进行术前分类，可以简化诊断过程并优化治疗方案。
