Richter K
MMW Munch Med Wochenschr. 1975 Feb 28;117(9):317-22.
The difficulty of pretherapeutic demonstration of endometriosis externa (at best about 50% correct diagnoses) requires histological confirmation. This demands a surgical procedure in which is best to remove all the endometrioses. The radical treatment accompanying elimination of ovarian function is largely unproblematic. Therapy with modern drugs and also surgery may fail in the conservative procedure; The combined operative and medicinal therapy integrate the advantages of both methods and cancel out their disadvantages. The significant role of the vaginal operation, especially of the diagnostic and therapeutic operation oposterior colpocoeliotomy is emphasized.
术前确诊外在性子宫内膜异位症存在困难（确诊率最高约为50%），因此需要组织学确认。这就需要进行手术，最好切除所有子宫内膜异位病灶。伴随着卵巢功能消除的根治性治疗基本没有问题。在保守治疗中，使用现代药物治疗以及手术治疗都可能失败；联合手术和药物治疗结合了两种方法的优点并消除了它们的缺点。强调了阴道手术的重要作用，尤其是诊断性和治疗性的后穹窿切开术。
