育龄期女性卵巢子宫内膜异位囊肿手术相关问题OA北大核心CSTPCD
Surgical treatment of ovarian endometrioma in women of reproductive age
卵巢子宫内膜异位囊肿(ovarian endometrio-ma,OMA)是子宫内膜异位症(简称内异症)最常见的一种表现形式,占内异症的17％～44％.OMA常面临是否手术、何时手术以及如何手术三大临床问题.手术治疗OMA 目的是消除异位病灶,为组织学评估提供足够的组织,并最大程度地保留正常卵巢组织.育龄期OMA患者手术需要临床医生根据实际情况作出决策.现有内异症指南的推荐标准和方法学质量存在较大差异.因此,针对育龄期的OMA手术相关问题还需要进行真正高水平、高质量的研究来提供更多证据.
Ovarian endometrioma(OMA)is one of the most common manifestation of endometriosis,ac-counting for approximately 17％-44％of cases.OMA is closely related to the quality of life and reproductive health of patients.The surgery of OMA often faces three major issues:whether,when and how to perform surgery.The purpose of OMA sugical treatment is to eliminate lessons,provide sufficent tissue for histological eval-uation,and preserve normal ovarion tissue to the greatest possible.This requires clinical doctors to make decisions based on actual situations.There are sig-nificant differences in the recommended standards and methodological quality of existing guidelines for en-dometriosis.Therefore,further high-level and high-quality research is needed to provide more evidence for OMA in reproductive age.
李晓燕;戴毅
中国医学科学院北京协和医学院 北京协和医院妇产科 国家妇产疾病临床研究中心,北京 100730
临床医学
子宫内膜异位症卵巢子宫内膜异位囊肿
endometriosisovarian endometrioma
《中国实用妇科与产科杂志》 2024 (005)
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十四五国家重点研发计划"生育健康及妇女儿童健康保障"重点专项:子宫内膜异位症国家级数据平台建设和综合防治策略研究(2022YFC2704000);中央高水平医院临床科研业务费资助(2022-pumch-B-085)
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