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子宫内膜异位症的现代概念。分类及其对治疗的影响。

Modern concepts of endometriosis. Classification and its consequences for therapy.

作者信息

Schenken R S

机构信息

Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio 78284-7836, USA.

出版信息

J Reprod Med. 1998 Mar;43(3 Suppl):269-75.

PMID:9564660
Abstract

OBJECTIVE

To review the development of the American Society for Reproductive Medicine (ASRM) classification forms for endometriosis and assess efforts to validate their clinical utility.

STUDY DESIGN

The relevant medical literature was reviewed.

RESULTS

ASRM has established classification forms for endometriosis in women with infertility and pelvic pain. The utility of these new forms has not been assessed. Studies using earlier versions of the ASRM classification reported that the stage of disease correlates better with pain symptoms than fertility outcome.

CONCLUSION

The ASRM classification form for infertility and the form to assist in the management of pelvic pain in women with endometriosis permit clear documentation of the extent and morphologic type of disease. Further studies are needed to refine the classification and enhance its predictive ability.

摘要

目的

回顾美国生殖医学学会(ASRM)子宫内膜异位症分类表的发展历程,并评估验证其临床实用性的相关工作。

研究设计

对相关医学文献进行回顾。

结果

ASRM已制定了针对不孕女性和盆腔疼痛女性的子宫内膜异位症分类表。这些新分类表的实用性尚未得到评估。使用ASRM早期版本分类的研究报告称,疾病分期与疼痛症状的相关性比与生育结局的相关性更好。

结论

ASRM的不孕分类表以及协助管理子宫内膜异位症女性盆腔疼痛的分类表,能够清晰记录疾病的范围和形态类型。需要进一步研究以完善该分类并提高其预测能力。

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1
Modern concepts of endometriosis. Classification and its consequences for therapy.子宫内膜异位症的现代概念。分类及其对治疗的影响。
J Reprod Med. 1998 Mar;43(3 Suppl):269-75.
2
[Classification of endometriosis].[子宫内膜异位症的分类]
Wien Med Wochenschr. 1999;149(13):361-5.
3
Endometriosis classification: an update.子宫内膜异位症分类:更新。
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[Laparoscopic findings in patients with pelvic pain, dysmenorrhea and sterility].[盆腔疼痛、痛经和不孕患者的腹腔镜检查结果]
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Classification of endometriosis.子宫内膜异位症的分类。
Obstet Gynecol Clin North Am. 1989 Mar;16(1):61-77.

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