子宫内膜异位症诊治的现在和未来

The present and future of diagnosis and treatment of endometriosis

子宫内膜异位症(内异症)是育龄期妇女的常见病、多发病,是世界妇女的健康问题.本文综述了内异症当前研究的热点和临床诊治观念的进展,以期展望未来诊治策略的发展.无论在发病机制研究还是在临床治疗,我国内异症的研究和诊治水平均达到了世界先进水平,“在位内膜决定论”是中国学者对世界内异症诊治研究的一个贡献.未来内异症的发病机制研究仍然是妇科研究的热点问题,而内异症的临床治疗更趋向于在正确认识疾病的基础上的长期管理,以患者为中心的个体化,甚至是多学科综合治疗,更注重保护患者的生育功能和生活质量.

Endometriosis is a common disease in fertile age women.It is a health problem of women in the world.This paper reviewed the current research focus and clinical diagnosis and treatment of endometriosis,to provide an outlook for future development of the diagnosis and treatment strategies.China has reached the world advanced level both in pathogenesis research and in clinical treatment of endometriosis.Chinese scholars have proposed the theory of endmometrium determinant,contributing to the diagnosis and treatment of endometriosis in the world.Pathogenesis research of endometriosis will remain a hot topic in gynecological research.Modern endometriosis management tends to aim for long-term management and individualized treatment with a patient-centered,multi-modal and interdisciplinary approach on the basis of correct understanding of the disease,protecting patients’reproductive function and quality of life.