Scientific Endometriosis Foundation (Stiftung Endometriose-Forschung/ SEF, Westerstede, Germany.
Endometriosis Clinic Dres. Keckstein, Villach, Austria.
Acta Obstet Gynecol Scand. 2021 Jul;100(7):1165-1175. doi: 10.1111/aogs.14099. Epub 2021 Mar 19.
Advances in preoperative diagnostics as well as in surgical techniques for the treatment of endometriosis, especially for deep endometriosis, call for a classification system, that includes all aspects of the disease such as peritoneal endometriosis, ovarian endometriosis, deep endometriosis, and secondary adhesions. The widely accepted revised American Society for Reproductive Medicine classification (rASRM) has certain limitations because of its incomplete description of deep endometriosis. In contrast, the Enzian classification, which has been implemented in the last decade, has proved to be the most suitable tool for staging deep endometriosis, but does not include peritoneal or ovarian disease or adhesions. To overcome these limitations, a comprehensive classification system for complete mapping of endometriosis, including anatomical location, size of the lesions, adhesions and degree of involvement of the adjacent organs, that can be used with both diagnostic and surgical methods, has been created through a consensus process and will be described in detail-the #Enzian classification.
在子宫内膜异位症的术前诊断和手术技术方面的进步，特别是深部子宫内膜异位症的治疗方面，需要一种分类系统，该系统应包括疾病的各个方面，如腹膜子宫内膜异位症、卵巢子宫内膜异位症、深部子宫内膜异位症和继发性粘连。广泛接受的修订版美国生殖医学学会分类（rASRM）由于对深部子宫内膜异位症的描述不完整，存在一定的局限性。相比之下，过去十年中实施的 Enzian 分类已被证明是深部子宫内膜异位症分期的最合适工具，但不包括腹膜或卵巢疾病或粘连。为了克服这些局限性，通过共识过程创建了一种全面的子宫内膜异位症分类系统，该系统可用于诊断和手术方法，包括解剖位置、病变大小、粘连和相邻器官受累程度，将详细描述-#Enzian 分类。
