Hoeger K M, Guzick D S
Department of Obstetrics and Gynecology, University of Rochester School of Medicine, New York, USA.
Obstet Gynecol Clin North Am. 1997 Jun;24(2):347-59. doi: 10.1016/s0889-8545(05)70308-9.
The evolution of classification schemes for endometriosis has continued since the 1920s, when initial attempts were made to describe endometriosis. The cause, pathophysiology, and natural history of endometriosis remain difficult to characterize. As knowledge about endometriosis increases, classification schemes will change to incorporate new ideas. Evolution of the current American Fertility Society's revised classification of endometriosis is reviewed, as well as evaluation of its use with respect to prediction of fertility and management of pelvic pain. Possible directions for classification in the future are also discussed in this article.
自20世纪20年代首次尝试描述子宫内膜异位症以来,子宫内膜异位症分类方案一直在不断演变。子宫内膜异位症的病因、病理生理学和自然病史仍然难以明确。随着对子宫内膜异位症认识的增加,分类方案将会改变以纳入新的观点。本文回顾了当前美国生育协会修订的子宫内膜异位症分类的演变过程,以及对其在预测生育能力和盆腔疼痛管理方面应用的评估。本文还讨论了未来分类的可能方向。