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子宫内膜异位症多见于育龄期妇女,近年来其发病率有上升趋势。子宫内膜异位症患者就诊的主要症状为痛经、不孕和盆腔包块等。国内外文献报道,其发生率为10%~15%,严重影响了女性健康和生活质量。本文报告的病例是1例卵巢子宫内膜异位囊肿(又称巧克力囊肿)合并子宫内膜息肉患者,同时存在严重的痛经症状,因其有生育要求行宫腹腔镜手术,术后采用地屈孕酮全周期管理成功受孕并足月分娩。
Abstract:[1] 中国医师协会妇产科医师分会,中华医学会妇产科学分会子宫内膜异位症协作组.子宫内膜异位症诊治指南(第三版)[J].中华妇产科杂志,2021,56:812-824.
[2] 中国医师协会妇产科医师分会,中华医学会妇产科学分会子宫内膜异位症协作组.子宫内膜异位症长期管理中国专家共识[J].中华妇产科杂志,2018,53:836-841.
[3] 冷金花,史精华.子宫内膜异位症长期管理策略[J].山东大学学报(医学版),2019,57:1-5.
[4] Kho RM,Andres MP,Borrelli GM,et al.Surgical treatment of different types of endometriosis:comparison of major society guidelines and preferred clinical algorithms[J].Best Pract Res Clin Obstet Gynaecol,2018,51:102-110.
[5] 彭超,周应芳.药物治疗在子宫内膜异位症长期管理中的应用和选择[J].中国实用妇科与产科杂志,2021,37:303-308.
[6] Becker CM,Gattrell WT,Gude K,et al.Reevaluating response and failure of medical treatment of endometriosis:a systematic review[J].Fertil Steril,2017,108:125-136.
[7] Barra F,Grandi G,Tantari M,et al.A comprehensive review of hormonal and biological therapies for endometriosis:latest developments[J].Expert Opin Biol Ther,2019,19:343-360.
[8] 田文艳,张慧英,仝佳丽,等.子宫内膜息肉诊治中国专家共识(2022年版)[J].中国实用妇科与产科杂志,2022,38:809-813.
[9] Zhang YN,Zhang YS,Yu Q,et al.Higher prevalence of endometrial polyps in infertile patients with endometriosis[J].Gynecol Obstet Invest,2018,83:558-563.
[10] 顾晨曦,任青玲.子宫内膜异位症与子宫内膜息肉发病机制的相关性研究进展[J].生命的化学,2023,43:586-594.
[11] Vercellini P,Buggio L,Frattaruolo MP,et al.Medical treatment of endometriosis-related pain[J].Best Pract Res Clin Obstet Gynaecol,2018,51:68-91.
[12] Perez-Medina T,Bajo-Arenas J,Salazar F,et al.Endometrial polyps and their implication in the pregnancy rates of patients undergoing intrauterine insemination:a prospective,randomized study[J].Hum Reprod,2005,20:1632-1635.
基本信息:
中图分类号:R711.71
引用信息:
[1]张璐芳,沈怡.一例子宫内膜异位症合并息肉患者诊治及术后长期管理获得良好妊娠结局的病例报告[J].生殖医学杂志,2023,32(11):1737-1739.
2023-11-15
2023-11-15