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内异症分类与分期系统的研究现状和进展
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Obstetrics and Gynecology
- Issue:
- 5
- DOI:
- 10.3760/cma.j.issn.0529-567x.2013.05.018
- Key Word:
- No keyword available
Abstract： 内异症是影响育龄期女性生命质量和生育水平最常见的妇科疾病,临床表现多样,诊断困难.目前,尚无一种完善的内异症分类和分期系统用于指导这种复杂疾病的诊断、治疗和预后判断,尤其是其特征性的表现:疼痛和不孕.对包括内异症在内的任何一种疾病进行分期,其重要性在于能够创造一种共同的科学语言,实现特异性的诊断,将临床观察结果的比较规范化,并方便研究应用.理想的分类与分期系统应该在经验和循证的基础上,定义清晰,将解剖特征转化到语言描述的过程简洁明了,适用于所有病例,能反映疾病进展过程,对生育、疼痛缓解和复发等预后效果的判定具有客观一致性,可用于指导治疗,容易评价和应用,易于和患者交流,获得普遍承认.本文就内异症分类系统的发展历史、最常使用的1985年修订的美国生育协会/美国生殖医学会(r-AFS/r-ASRM)分类分期系统、以及针对生育情况的内异症生育指数(EFI)评分系统、针对深部浸润型内异症(DIE)的多种分类系统以及正在开发的美国妇科内镜医师学会(AAGL)系统及其他研究进展综述如下.
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