腹腔镜在子宫内膜异位症中的应用现状及局限性

子宫内膜异位症(内异症)是生育年龄妇女的常见病,发病率可高达10%～15%。主要引发疼痛?不孕及盆腔包块三大临床问题。腹腔镜是目前诊断内异症的金标准和首选的治疗手段。但由于内异症本身的病变特点,以及在治疗重度内异症或者深部浸润型子宫内膜异位症(deep infil-trating endometriosis,DIE)方面的困难性和复杂性,腹腔镜在诊治内异症的临床应用过程中仍然存在一定的局限性。

Application status and limitations of laparoscopy for endometriosis

Endometriosis is a common disease which occurs in approximately 10%~15% of women of reproductive age,the main clinical impacts are pain,infertility and pelvic mass. Laparoscopy is the golden standard for the diagnosis and treatment of endometriosis. For the variable characteristics of endometriosis and the difficulties and complexities during the treatment of severe or deep infiltrating endometriosis (DIE),limitations still exist in clinical applications of laparoscopy for this disease.