宫腔镜与子宫内膜异位症治疗的述评

R. Lasmar, B. Lasmar
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摘要

子宫内膜异位症是指子宫腔外存在子宫内膜腺体和间质。子宫腺肌症是一种良性子宫疾病,其特征是子宫肌肉组织中存在腺体和子宫内膜间质。宫腔镜适用于诊断为子宫内膜异位症的患者同时存在不孕症时,在宫内探查引起痛经和子宫异常出血的原因。宫腔镜检查子宫腔只有在治疗选择导致保留子宫的情况下才有意义,如果有子宫切除术的指征,则不需要进行宫腔镜检查,除非怀疑有宫颈癌或子宫内膜癌。子宫内膜异位症及子宫表现的文献综述。个人和大学图书馆搜索文本的研究方法和文献评论。宫腔镜适用于诊断为子宫内膜异位症的患者同时存在不孕症时,在宫内探查引起痛经和子宫异常出血的原因。子宫内膜息肉、肌瘤和子宫畸形与子宫内膜异位症有关。这些实体与不孕、盆腔疼痛和子宫异常出血有关。宫腔镜能够诊断和治疗大多数与子宫内膜异位症相关的子宫病变。慢性子宫内膜炎、子宫内膜息肉、肌瘤及子宫畸形应在子宫内膜异位症患者行宫腔镜检查。
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Narrative review of hysteroscopy and endometriosis treatment
Endometriosis is defined as the presence of endometrial glands and stroma located outside the uterine cavity. Adenomyosis is a benign uterine disease, characterized by the presence of glands and endometrial stroma in the uterine musculature. Hysteroscopy is indicated in patients diagnosed with endometriosis when there is also infertility, in the investigation of intrauterine causes of dysmenorrhea and abnormal uterine bleeding. The investigation of the uterine cavity by hysteroscopy will only be indicated in cases where the treatment of choice leads to uterine preservation, if there is an indication for hysterectomy, this investigation will not be necessary, except when there is suspicion of cervical or endometrial cancer. Literature review on endometriosis and uterine manifestations. Personal and college libraries searching for texts on research methods and literature reviews. Hysteroscopy is indicated in patients diagnosed with endometriosis when there is also infertility, in the investigation of intrauterine causes of dysmenorrhea and abnormal uterine bleeding. Endometrial polyps, myomas and uterine malformations are related to endometriosis. Those entities are related to infertility, pelvic pain and abnormal uterine bleeding. Hysteroscopy is able to diagnose and treat the majority of uterine lesions associated to endometriosis. Chronic endometritis, Endometrial Polyps, Myomas and uterine malformations should be investigated by hysteroscopy in patients with endometriosis.
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