Strunk E, Frese J, Warnecke K
Leber Magen Darm. 1978 Feb;8(1):32-7.
Patients with endometriosis are rare in surgical departments, they are however routine in gynecology. Pathogenesis, diagnosis and treatment of this disease are outlined. Treatment with estrogens, androgens or gestagens does not have the desired effect in many cases; in recent time however good results have been reported when Danazol, a new synthetic steroid was used. Surgery is indicated when the intestines are obstructed or when drug therapy has no effects. The extent of surgery depends upon the localization of endometriosis and upon the age of the patient. During the fertile period the uterus and ovaries should be left intact, whereas both should be removed after the age of forty. If parts of the intestine are removed, end-to-end anastomosis is the method of choice. Castration is to be preferred to a remaining anus praeter naturalis.
子宫内膜异位症患者在外科科室较为少见，但在妇科却是常见病例。本文概述了该疾病的发病机制、诊断和治疗方法。在许多情况下，使用雌激素、雄激素或孕激素进行治疗并不能达到预期效果；然而，近年来有报道称，使用一种新的合成类固醇——达那唑，取得了良好的疗效。当肠道梗阻或药物治疗无效时，需进行手术治疗。手术范围取决于子宫内膜异位症的位置以及患者的年龄。在生育期，应保留子宫和卵巢；而在40岁以后，则应将二者切除。如果切除部分肠道，端端吻合术是首选方法。相比于保留自然肛门，阉割更为可取。
