子宫内膜异位症诊治的新进展

发布时间：2018-09-05 11:03

【摘要】：子宫内膜异位症是生育年龄妇女常见妇科疾病，近年发病率在不断上升中，还有逐年上升的趋势。虽然内异症一种良性疾病，但是它有与恶性肿瘤一般很强的侵袭粘附能力，内异症的发病机制目前不十分明确。内异症有不同的分期，迄今为止，，临床常用的即rAFS评分法，但是此分期法有不足之处，尚无一种令人满意的分期方法，本文归纳总结了自1973年Acosta首次提出内异症分期到如今rAFS广泛运用于临床这段时期的所有内异症的分期方法，旨在了解内异症分期的发展及各个分期的优劣性，希望从中得到启示，完善内异症的分期，从而全方面了解内异症，并科学合理的作出治疗方案。内异症的诊断方法较多，目前认为腹腔镜是诊断内异症的金标准，但是腹腔镜手术费用高、有创伤、对术者操作能力要求高，找到无创、简便、精确的诊断方法非常必要。本文就腹腔镜、新兴的实验室方法、器械辅助检查的种类进行比较，旨在权衡利弊得到一个科学简便的诊断方法。内异症的治疗主要依靠手术和术后药物联合治疗，腹腔镜手术是治疗内异症的首选方法，保守性手术是最常用手术方式，术后治疗药物种类较多，目前最常用促性腺激素释放激素激动剂。本文评价各种治疗方式的优劣性，旨在寻找出操作简单、复发性小、副反应小的治疗方案。
[Abstract]:Endometriosis is a common gynecological disease in women of childbearing age. Although endometriosis is a benign disease, it has the ability of invasiveness and adhesion to malignant tumor. The pathogenesis of endometriosis is not very clear. There are different stages in endometriosis. Up to now, the clinical use of rAFS scoring method, but this staging method has shortcomings, there is no satisfactory staging method, In this paper, we summarize the staging methods of endodysm from the first stage proposed by Acosta in 1973 to the present period in which rAFS is widely used in clinical practice, in order to understand the development of the stage of endometriosis and the advantages and disadvantages of each stage. We hope to get enlightenment, perfect the stages of endometriosis, so as to understand the disease in all aspects, and make a scientific and reasonable treatment plan. There are many diagnostic methods for endometriosis. At present, it is considered that laparoscopy is the golden standard for the diagnosis of endometriosis, but the cost of laparoscopic surgery is high, there is trauma, and it is necessary to find a non-invasive, simple and accurate diagnosis method for the operator. In this paper, the types of laparoscopy, new laboratory methods and instrumentation are compared in order to obtain a scientific and convenient diagnostic method by weighing the advantages and disadvantages. The treatment of endometriosis mainly depends on the combination of surgery and postoperative drugs. Laparoscopic surgery is the first choice in the treatment of endometriosis, conservative surgery is the most commonly used operation, and there are many kinds of drugs after operation. Currently, gonadotropin releasing hormone agonists are the most commonly used. The purpose of this paper is to evaluate the advantages and disadvantages of various therapeutic methods in order to find out the treatment scheme which is simple in operation, small in recurrence and small in side effects.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.71

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