Scientific Endometriosis Foundation (Stiftung Endometrioseforschung/ SEF), Westerstede, Germany; Endometriosis Centre, Clinic Dres. Keckstein, Villach, Austria; University Ulm, Germany.
Scientific Endometriosis Foundation (Stiftung Endometrioseforschung/ SEF), Westerstede, Germany; Department of Gynaecology, Centre for Endometriosis, Hospital St. John of God; Vienna, Austria.
Best Pract Res Clin Obstet Gynaecol. 2021 Mar;71:27-37. doi: 10.1016/j.bpobgyn.2020.11.004. Epub 2020 Dec 11.
Endometriotic lesions may affect peritoneal and ovarian tissues, cause secondary adhesions, and - in case of deep endometriosis (DE), invade organs such as the urinary bladder, ureters, and bowel. Over decades, several classification systems have been proposed with the rASRM score being the most widely accepted one to date. However, the rASRM classification has certain limitations regarding the description of DE. In contrast, the Enzian classification, which has been updated and modified recently in the form of the so-called #Enzian classification, has proved to be the most suitable tool for staging DE and now also includes peritoneal or ovarian diseases as well as adhesions. In the ideal scenario, a classification for endometriosis can be used with both diagnostic and surgical methods. The present work discusses the pros and cons of scores for endometriosis and highlights the need for using one universal classification system.
子宫内膜异位症病灶可累及腹膜和卵巢组织，导致继发性粘连，在深部子宫内膜异位症（DE）的情况下，还可侵犯膀胱、输尿管和肠道等器官。几十年来，已经提出了几种分类系统，其中 rASRM 评分是迄今为止最广泛接受的一种。然而，rASRM 分类在描述 DE 方面存在一定的局限性。相比之下，Enzian 分类最近经过更新和修改，以所谓的 #Enzian 分类的形式出现，已被证明是分期 DE 最适合的工具，现在还包括腹膜或卵巢疾病以及粘连。在理想情况下，一种分类方法可以同时用于诊断和手术方法。本研究讨论了子宫内膜异位症评分的优缺点，并强调需要使用一种通用的分类系统。
