Ribeiro Flávia, Ferreira Hélder
Department of Gynecology, Minimally Invasive Gynecological Surgery Unit, Unidade Local de Saúde de Santo António, 4050-342 Porto, Portugal.
Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal.
J Clin Med. 2024 Nov 14;13(22):6844. doi: 10.3390/jcm13226844.
Endometriosis and adenomyosis are chronic gynecological conditions that significantly impact women's quality of life, leading to symptoms such as pelvic pain, dysmenorrhea, and infertility. Despite ongoing research, a definitive cure for these conditions remains elusive, and treatment often focuses on managing symptoms. Minimally invasive surgery is considered the gold standard for surgical management, but novel surgical techniques are continuously being developed to enhance outcomes. These innovations aim to reduce disease recurrence, improve fertility rates, and provide better long-term symptom relief. In addition, techniques like robot-assisted laparoscopy (RAS) have revolutionized the treatment of complex cases, such as deep infiltrating endometriosis (DIE), offering improved precision and effectiveness. This review explores the latest advancements in surgical approaches, their clinical efficacy, and future directions, emphasizing the need for individualized multidisciplinary care to optimize patient outcomes.
子宫内膜异位症和子宫腺肌病是慢性妇科疾病，严重影响女性的生活质量，导致盆腔疼痛、痛经和不孕等症状。尽管研究不断，但这些疾病的根治方法仍然难以捉摸，治疗通常侧重于症状管理。微创手术被认为是手术治疗的金标准，但新的手术技术不断涌现以改善治疗效果。这些创新旨在减少疾病复发、提高生育率并提供更好的长期症状缓解。此外，机器人辅助腹腔镜手术（RAS）等技术彻底改变了复杂病例的治疗方式，如深部浸润性子宫内膜异位症（DIE），提高了手术的精准度和有效性。本综述探讨了手术方法的最新进展、其临床疗效及未来方向，强调了个性化多学科护理对优化患者治疗效果的必要性。
