Ingersoll F M
Clin Obstet Gynecol. 1977 Dec;20(4):849-64. doi: 10.1097/00003081-197712000-00009.
The use of the culdoscope and now the laparoscope has made the accurate diagnosis of endometriosis possible so that each case can be clinically staged. A suggested staging of endometriosis similar to that used for carcinoma of the cervix, i.e., consisting of four stages, is proposed. Surgical or hormonal treatment, or a combination of both, can be chosen on the basis of the stage of the disease. Success of therapy can be determined and compared to results of other investigators using the same staging or classification. The choice and extent of surgical treatment, stage for stage, is discussed. The several hormonal regimens, progestins alone, progestins plus estrogen or danazol, are outlined. Previously reported results in the treatment of endometriosis demonstrated a close correlation between stage of disease and percentage of patients who conceive.
使用后穹窿镜以及现在的腹腔镜，使得子宫内膜异位症的准确诊断成为可能，从而能够对每个病例进行临床分期。本文提出了一种类似于用于宫颈癌的子宫内膜异位症分期方法，即分为四个阶段。可根据疾病的阶段选择手术治疗、激素治疗或两者结合的治疗方式。可以确定治疗的成功率，并与使用相同分期或分类的其他研究者的结果进行比较。本文还讨论了各阶段手术治疗的选择和范围。概述了几种激素治疗方案，单独使用孕激素、孕激素加雌激素或达那唑。先前报道的子宫内膜异位症治疗结果表明，疾病阶段与受孕患者百分比之间存在密切关联。
