深部浸润型子宫内膜异位症分期及分型演变

【摘要】 深部子宫内膜异位症(deep endometriosis,DE)是子宫内膜异位症中最为复杂且严重的类型,它是指异位于盆腔腹膜或子宫韧带的子宫内膜异位病灶浸润深度≥5 mm,常累及子宫骶韧带、子宫直肠陷凹、阴道直肠隔甚至肠管、膀胱及输尿管,引起各种严重的疼痛,并且是导致不孕的重要因素之一。DE病情复杂,以治疗难度大、手术难度高而引起广大学者的重视,病变范围及严重程度的评估对DE的治疗以及对生育的指导均具有重要的意义,因此成为研究的热点。更多还原

【Abstract】 Deep endometriosis(DE) is the most complex and serious type of endometriosis,which refers to endometriotic foci located in the pelvic peritoneum or uterine ligaments with an infiltration depth of ≥ 5 mm,often involving the uterosacral ligaments,uterorectal recess,vaginal rectal septum and even the bowel,bladder,and ureter,and often causing severe pain and is one of the important factors leading to infertility. The complexity of DE and the difficulty of treatment and surgery, have attracted the attention of scholars and clinicians. The assessment of the extent and severity of the lesions is important for the treatment of DE as well as for the guidance of fertility,and has therefore become a hot topic of research.更多还原