Freytag Damaris, Peters Göntje, Mettler Liselotte, Gitas Georgios, Maass Nicolai, Alkatout Ibrahim
Department of Obstetrics and Gynecology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
Department of Obstetrics and Gynecology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
J Turk Ger Gynecol Assoc. 2021 Dec 6;22(4):319-325. doi: 10.4274/jtgga.galenos.2021.2021.0017. Epub 2021 Jun 10.
Endometriosis is one of the most common benign diseases in women of reproductive age. Nearly all gynecological offices and clinics will contain patients with endometriosis; the frequency and severity of the disease will vary from one setting to another. Adjoining specialties, such as internal medicine, general medicine, surgery, urology, orthopedics, neurology and psychosomatic medicine, will be challenged directly or indirectly by various forms of endometriosis and its sequelae. The disease is characterized by pelvic pain, dysmenorrhea, dyspareunia and sterility. Even now, several years may elapse between the onset of the disease and its diagnosis. The diagnosis of endometriosis is complicated by the diversity of the symptoms. A precise documentation of the patient’s medical history and thorough diagnostic procedures are essential to establish a robust diagnosis. This article will discuss the perioperative considerations, diagnosis and treatment of endometriosis.
子宫内膜异位症是育龄女性最常见的良性疾病之一。几乎所有妇科科室和诊所都会有子宫内膜异位症患者；该病的发病率和严重程度因地区而异。内科、普通科、外科、泌尿外科、骨科、神经科和心身医学等相关专科将直接或间接面临各种形式的子宫内膜异位症及其后遗症的挑战。该病的特点是盆腔疼痛、痛经、性交困难和不孕。即使到现在，从疾病发作到诊断仍可能会间隔数年。子宫内膜异位症的症状多样，这使得诊断变得复杂。准确记录患者的病史并进行全面的诊断程序对于做出可靠的诊断至关重要。本文将讨论子宫内膜异位症的围手术期注意事项、诊断和治疗。
