育龄期子宫内膜异位症患者的长期管理

Long-term management of patients with endometriosis in reproductive age

子宫内膜异位症(endometriosis, EMS)是育龄期女性的常见病, EMS可能会引起疼痛、不孕及包块等。由于EMS影响患者的整个生育期, 易复发, 难以根治, 故应该制定EMS患者的长期管理方案, 包括药物治疗、手术治疗、辅助生殖技术等。生育需求正是育龄期EMS女性的主要需求之一, 故临床医生对于育龄期EMS女性进行长期随访管理、治疗和咨询的主要目的不仅是治疗EMS所引起的疼痛, 减少EMS复发和进展, 更要注意在适当的时候对患者进行生育指导, 在患者合并不孕问题时给予恰当的助孕治疗。本文对育龄期EMS患者长期管理方案进行综述。

Endometriosis(EMS)is a common disease in women of reproductive age.EMS may cause pain,infertility and mass.Because EMS affects the entire reproductive period of patients,it is easy to relapse,and difficult to cure.Therefore,a long-term management plan for patients with EMS should be formulated,including medical treatment,surgical treatment,and assisted reproductive technology.Fertility needs are one of the main needs of women with EMS of reproductive age.Therefore,long-term follow-up management is needed for women with EMS of reproductive age.The main purpose of treatment and consultation is to treat the pain caused by EMS and reduce the recurrence and progression of EMS,and give fertility guidance to patients when appropriate,and give appropriate treatment when patients are diagnosed with infertility.This article reviewed the long-term management of EMS patients of reproductive age.