国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (5): 507-509.

• 综述 • 上一篇    下一篇

深部浸润型子宫内膜异位症手术治疗进展

车 璇,张信美   

  1. 314000 嘉兴市妇幼保健院(车璇);浙江大学医学院附属妇产科医院(张信美)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-10-15 发布日期:2012-10-15
  • 通讯作者: 张信美

Progress of Laparoscopic Surgery for Deep Infiltrating Endometriosis

CHE Xuan，ZHANG Xin-mei   

  1. Jiaxing Maternity and Child Health Care Hospital，Jiaxing 314000，China（CHE Xuan）；Women′s Hospital，School of Medicine，Zhejiang University，Hangzhou 310006，China（ZHANG Xin-mei）
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-10-15 Online:2012-10-15
  • Contact: ZHANG Xin-mei

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摘要： 手术治疗是深部浸润型子宫内膜异位症（DIE）的主要治疗方式。腹腔镜下完整切除DIE病灶具有高疼痛缓解率和低复发率的特点，目前已成为首选治疗方法，但完整DIE病灶切除后导致膀胱和直肠等功能障碍日益受到关注。最近的研究发现，保留盆腔自主神经的DIE手术可避免术后膀胱、直肠以及性功能紊乱。综述近年有关保留盆腔自主神经的DIE手术的治疗进展。

关键词: 宫内膜异位症, 骨盆, 自主神经通路

Abstract: Surgical treatment is a main option for deep infiltrating endometriosis （DIE）. Laparoscopic complete excision of endometriosis is a priority option due to a high rate of pain relief and a low rate of recurrence. However，the radical surgery of DIE leading to the dysfunction of the bladder and rectum is worthy of increasing attention. Recently，laparoscopic nerve-sparing complete excision of endometriosis is considered to reduce or avoid the dysfunction of bladder，rectum and sexuality . This article reviews the recent research progress of laparoscopic nerve-sparing complete excision of DIE.

Key words: Endometriosis, Pelvis, Autonomic pathways