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子宫内膜异位症的诊断与治疗。德国妇科和产科学会(DGGG)、瑞士妇科和产科学会(SGGG)及奥地利妇科和产科学会(OEGGG)指南(S2k级别,德国医学质量与效率理事会登记号015/045,2020年8月)

Diagnosis and Treatment of Endometriosis. Guideline of the DGGG, SGGG and OEGGG (S2k Level, AWMF Registry Number 015/045, August 2020).

作者信息

Burghaus Stefanie, Schäfer Sebastian D, Beckmann Matthias W, Brandes Iris, Brünahl Christian, Chvatal Radek, Drahoňovský Jan, Dudek Wojciech, Ebert Andreas D, Fahlbusch Christine, Fehm Tanja, Fehr Peter Martin, Hack Carolin C, Häuser Winfried, Hancke Katharina, Heinecke Volker, Horn Lars-Christian, Houbois Christian, Klapp Christine, Kramer Heike, Krentel Harald, Langrehr Jan, Matuschewski Heike, Mayer Ines, Mechsner Sylvia, Müller Andreas, Müller Armelle, Müller Michael, Oppelt Peter, Papathemelis Thomas, Renner Stefan P, Schmidt Dietmar, Schüring Andreas, Schweppe Karl-Werner, Seeber Beata, Siedentopf Friederike, Sirbu Horia, Soeffge Daniela, Weidner Kerstin, Zraik Isabella, Ulrich Uwe Andreas

机构信息

Frauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany.

Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Münster, Münster, Germany.

出版信息

Geburtshilfe Frauenheilkd. 2021 Apr;81(4):422-446. doi: 10.1055/a-1380-3693. Epub 2021 Apr 14.

DOI:10.1055/a-1380-3693
PMID:33867562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8046516/
Abstract

The aim of this official guideline published and coordinated by the German Society of Gynaecology and Obstetrics (DGGG) in cooperation with the Austrian Society for Gynaecology and Obstetrics (OEGGG) and the Swiss Society for Gynaecology and Obstetrics (SGGG) was to provide consensus-based recommendations for the diagnosis and treatment of endometriosis based on an evaluation of the relevant literature. This S2k guideline represents the structured consensus of a representative panel of experts with different professional backgrounds commissioned by the Guideline Committee of the DGGG, OEGGG and SGGG. Recommendations on the epidemiology, aetiology, classification, symptomatology, diagnosis and treatment of endometriosis are given and special situations are discussed.

摘要

本官方指南由德国妇产科学会(DGGG)与奥地利妇产科学会(OEGGG)及瑞士妇产科学会(SGGG)合作发布并协调,其目的是在评估相关文献的基础上,为子宫内膜异位症的诊断和治疗提供基于共识的建议。本S2k指南代表了由DGGG、OEGGG和SGGG指南委员会委托的具有不同专业背景的专家代表小组的结构化共识。文中给出了关于子宫内膜异位症的流行病学、病因学、分类、症状学、诊断和治疗的建议,并讨论了特殊情况。

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本文引用的文献

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Total laparoscopic bladder resection in the management of deep endometriosis: "take it or leave it." Radicality versus persistence.腹腔镜全膀胱切除术治疗深部子宫内膜异位症:“要么接受,要么放弃”。根治性与持续性。
Int Urogynecol J. 2020 Aug;31(8):1683-1690. doi: 10.1007/s00192-019-04107-4. Epub 2019 Sep 7.
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Psychological and mind-body interventions for endometriosis: A systematic review.心理和身心干预治疗子宫内膜异位症:系统综述。
J Psychosom Res. 2019 Sep;124:109756. doi: 10.1016/j.jpsychores.2019.109756. Epub 2019 Jun 27.
3
Prevalence of fibromyalgia among women with deep infiltrating endometriosis.深部浸润型子宫内膜异位症女性中纤维肌痛的患病率。
Int J Gynaecol Obstet. 2019 Aug;146(2):157-163. doi: 10.1002/ijgo.12822. Epub 2019 May 9.
4
Pathogenesis of endometriosis: the genetic/epigenetic theory.子宫内膜异位症的发病机制:遗传/表观遗传理论。
Fertil Steril. 2019 Feb;111(2):327-340. doi: 10.1016/j.fertnstert.2018.10.013. Epub 2018 Dec 7.
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[Collective patient centeredness and patient involvement through self-help groups].通过自助团体实现以患者为中心的集体性及患者参与
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Jan;62(1):3-9. doi: 10.1007/s00103-018-2856-2.
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Endometriosis and adverse maternal, fetal and neonatal outcomes, a systematic review and meta-analysis.子宫内膜异位症与不良母婴、胎儿和新生儿结局:系统评价和荟萃分析。
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Surgical Excision Versus Ablation for Superficial Endometriosis-Associated Pain: A Randomized Controlled Trial.手术切除与消融治疗浅表子宫内膜异位症相关疼痛的随机对照试验。
J Minim Invasive Gynecol. 2019 Jan;26(1):71-77. doi: 10.1016/j.jmig.2018.03.023. Epub 2018 Mar 30.
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Endometriosis increased the risk of bladder pain syndrome/interstitial cystitis: A population-based study.子宫内膜异位症增加膀胱疼痛综合征/间质性膀胱炎的风险:基于人群的研究。
Neurourol Urodyn. 2018 Apr;37(4):1413-1418. doi: 10.1002/nau.23462. Epub 2018 Jan 10.
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Pathogenesis of deep endometriosis.深部子宫内膜异位症的发病机制
Fertil Steril. 2017 Dec;108(6):872-885.e1. doi: 10.1016/j.fertnstert.2017.08.036. Epub 2017 Oct 31.
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Ureteral endometriosis: A systematic literature review.输尿管子宫内膜异位症:一项系统的文献综述。
Indian J Urol. 2017 Oct-Dec;33(4):276-282. doi: 10.4103/iju.IJU_84_17.