子宫内膜异位症的微创治疗

Techniques in minimally invasive surgery for endometriosis

子宫内膜异位症在育龄期女性中发病率高达10%,是育龄期女性的常见病。近年来,子宫内膜异位症的治疗理念发生了翻天覆地的改变,从过去的根治性手术逐步发展为更加个体化、人性化的“缓解疼痛,改善生育,综合治疗,长期管理”的治疗理念。对于有症状的子宫内膜异位症患者,手术是非常重要的治疗方法。随着腹腔镜手术的发展,子宫内膜异位症的手术治疗水平得到了极大的提高。微创手术逐渐取代了过去的开腹手术。笔者结合国内外报道就子宫内膜异位症的微创治疗进展做一综述。

Endometriosis is a relatively prevalent disease with 10%frequency among women of reproductive age.Recently,the surgery concept has changed from radical surgery to pain relief,fertility improvement,comprehensive treatment,life-long management.Surgery can be an important treatment option for women with symptomatic endometriosis.The advances in laparoscopic surgery made the relatively recent rapid progress in surgery for endometriosis possible.Open surgery is gradually replaced by minimally invasive surgery.This review summarizes the progress of minimally invasive treatment for endometriosis.