关键词: 子宫内膜异位症, 妇科外科手术, 治疗, 深部浸润型子宫内膜异位症

Abstract: Deep infiltrating endometriosis (DIE) is a special type of endometriosis (EMs), which specifically refers to the infiltration depth of ≥ 5 mm of endometriosis lesions, involving in different parts of the pelvic cavity, mainly located in the posterior pelvic cavity, such as the uterosacral ligament, rectouterine pouch, vaginal septum, rectal colorectal etc. Pain is the main clinical symptoms with various forms, including dysmenorrhea, chronic pelvic pain, deep sexual pain and urinary system related pain. At present, the main treatment for DIE is the surgery, but the difficulty, safty, hard to avoid postoperative complications in the surgery are very difficult problems. According to the researchers, the methods of nerve sparing resection and robot assisted laparoscopic surgery are being explored. Therefore, the new research progress of the treatment of DIE is reviewed in this article.

Key words:  Endometriosis, Gynecologic surgical procedures, Therapy, Deep infiltrating endometriosis