子宫内膜异位症的治疗：8 项指南比较的综述。
Treatment of endometriosis: a review with comparison of 8 guidelines.
机构信息
Department of Gynecology and Obstetrics, Cantonal Hospital Schaffhausen, Geissbergstrasse 81, 8208, Schaffhausen, Switzerland.
Department of Gynecology, University Hospital Zurich, Zurich, Switzerland.
出版信息
BMC Womens Health. 2021 Nov 29;21(1):397. doi: 10.1186/s12905-021-01545-5.
BACKGROUND
Endometriosis, the presence of endometrial-like tissue outside the uterus, is a common clinical entity between women of reproductive age, with a prevalence of about 10%. Due to the variety of endometriosis-associated symptoms, a great variety of treatments have been implemented. The aim of this review is to give an overview on therapeutical approaches of eight national and international widely used guidelines.
METHODS
Six national (College National des Gynecologues et Obstetriciens Francais, National German Guideline (S2k), Society of Obstetricians and Gynaecologists of Canada, American College of Obstetricians (ACOG) and Gynecologists, American Society for Reproductive Medicine (ASRM) and National Institute for Health and Care (NICE) and two international (World Endometriosis Society, European Society of Human Reproduction and Embryology) guidelines are included in this review.
CONCLUSION
All the above-mentioned guidelines agree that the combined oral contraceptive pill, progestogens are therapies recommended for endometriosis associated pain. Concerning infertility, there is no clear consensus about surgical treatment. Discrepancies are also found on recommendation of the second- and third-line treatments.
背景
子宫内膜异位症是一种常见的妇科疾病，指子宫内膜样组织出现在子宫以外的部位，在育龄妇女中的患病率约为 10%。由于子宫内膜异位症相关症状多种多样，因此采用了多种治疗方法。本综述旨在概述 8 个国内外广泛使用的指南中的治疗方法。
方法
本综述纳入了 6 个国家指南（法国妇产科医师学院、德国国家指南[S2k]、加拿大妇产科医师学会、美国妇产科医师学会[ACOG]和妇科医师学会、美国生殖医学学会[ASRM]和英国国家卫生与保健优化研究所[NICE]）和 2 个国际指南（世界子宫内膜异位症协会、欧洲人类生殖与胚胎学会）。
结论
上述所有指南均认为，复方口服避孕药和孕激素是治疗子宫内膜异位症相关疼痛的推荐疗法。对于不孕，手术治疗尚无明确共识。二线和三线治疗的推荐也存在差异。
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