Riedel H H, Semm K
Zentralbl Gynakol. 1980;102(17):981-9.
Endometriosis was recorded from 26 per cent of more than 5,800 pelviscopic checks at the Department of Gynaecology and Obstetrics of the University of Kiel, according to a comprehensive statistical record covering a period between 1971 and 1979. Sterility patients ranked high on the list; they accounted for 51 per cent. -Systematic examinations were performed on a more stringently selected group of 611 patients, over the last two-and-a-half years. They were similar to studies conducted by Scott and Te Linde as well as by Meigs. Extragenital endometriosis was diagnosed in 26.2 per cent of the latter cases. -Clinically measurable symptoms were recorded from not more than about 50 per cent of those patients. -Treatment should always be given on the basis of one definitely established therapeutic scheme. Three-step treatment, including pelviscopy followed by six-months antigonadotrophin treatment and, finally, by re-pelviscopy with correction of the tube factor, has proved to be extremely successful for sterility patients. Larger manipulations on the tubes should be preceded by complete elimination of extragenital endometriosis to prevent fimbrial reclosure after a few months.
根据基尔大学妇产科1971年至1979年期间的综合统计记录，在超过5800例盆腔镜检查中，26%的患者被诊断出患有子宫内膜异位症。不育患者在名单上排名靠前，占51%。在过去两年半的时间里，对一组经过更严格挑选的611名患者进行了系统检查。这些检查与斯科特、特·林德以及梅格斯所做的研究类似。在后一组病例中，26.2%被诊断出患有生殖器外子宫内膜异位症。这些患者中，临床上可测量的症状记录不超过约50%。治疗应始终基于一种明确确立的治疗方案。对于不育患者，三步治疗法已被证明非常成功，即先进行盆腔镜检查，然后进行为期六个月的抗促性腺激素治疗，最后再次进行盆腔镜检查并纠正输卵管因素。在对输卵管进行较大操作之前，应先彻底消除生殖器外子宫内膜异位症，以防止几个月后输卵管伞端重新闭合。
