卵巢子宫内膜异位囊肿卵巢功能保护研究进展

Research Progress on Ovarian Function Protection of Ovarian Endometriosis Cyst

卵巢子宫内膜异位囊肿是育龄期妇女子宫内膜异位症的常见表现形式,严重威胁女性生殖健康,降低患者生育力,给患者心理及经济造成重大负担。目前,卵巢子宫内膜异位囊肿仍面临着诊断延迟、疾病进展及后续治疗损伤卵巢储备功能、术后高复发率等问题,这些原因都直接或间接降低女性生育力。但临床尚无关于卵巢子宫内膜异位囊肿卵巢储备功能保护的统一标准治疗方案。从评估卵巢储备功能、卵巢子宫内膜异位囊肿早诊断及药物治疗、适合的手术方式及生育力保存方式选择、术后管理等方面,综述关于卵巢子宫内膜异位囊肿卵巢储备功能保护的最新研究进展,以期在最大程度保护卵巢储备功能的基础上,为卵巢子宫内膜异位囊肿女性选择合适的治疗方案。

Ovarian endometriosis cyst are a common manifestation of endometriosis in women of childbearing age,which seriously threatens women′s reproductive health,reduces patients′fertility and causes great psychological and economic burden to patients.Currently,ovarian endometriosis cyst still face problems such as delayed diagnosis,disease progression and subsequent treatment that impair ovarian reserve function,and high recurrence rate after surgery,all of which directly or indirectly reduce female fertility.However,there is no uniform standard clinical treatment scheme for the protection of ovarian reserve function of ovarian endometriosis cysts.In this paper,the latest research progress on the protection of ovarian reserve function in ovarian endometriosis cyst is reviewed from the aspects of evaluation of ovarian reserve function,early diagnosis and drug treatment of ovarian endometriosis cysts,selection of suitable surgical methods and fertility preservation methods,and postoperative management,with the aim of selecting appropriate treatment options for women with ovarian endometriosis cysts based on the maximum protection of ovarian reserve function.