Riedel H H, Emmert C
Frauenklinik und Trainingszentrum für Gynäkologische Endoskopie.
Zentralbl Chir. 1998;123 Suppl 4:50-2.
Endometriosis associated with chronic pelvic pain is one of the most indications for gynecological pelviscopy. The differential diagnosis of chronic appendicitis is difficult to the similar symptoms, chronic course of both diseases and the increase of an earlier diagnosis of endometriosis concerning the age of women. The meticulous inspection of the whole abdominal cavity is necessary to exclude not only surgical diseases but for evaluation of endometriotic lesions in the area of genital and extragenital organs. Planning of hormone therapy and second-look pelviscopy should be performed by gynecologists.
与慢性盆腔疼痛相关的子宫内膜异位症是妇科盆腔镜检查的最常见适应症之一。由于两种疾病症状相似、病程均呈慢性且子宫内膜异位症在女性患者中的早期诊断率有所上升，因此慢性阑尾炎的鉴别诊断较为困难。为了不仅排除外科疾病，还为了评估生殖器官和生殖器官外区域的子宫内膜异位病变，必须对整个腹腔进行细致检查。激素治疗方案的制定以及二次盆腔镜检查应由妇科医生完成。
