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目前用腹腔镜检查对早期无症状的子宫内膜异位症能做出明确诊断,而且通过腹腔镜检查发现在不孕症妇女中子宫内膜异位症占30～40%。根据腹腔镜所见,作者将子宫内膜异位症按其发病程度分为三种:轻度:病变局限在盆腔腹膜及生殖器表面。中度:病灶形成瘢痕和挛缩,且有轻度盆腔粘连。重度:卵巢肿瘤样出血性病灶,中度或严重的粘连,甚至侵犯远方器官。根据绝经可以改进或治疗子宫内膜异位症,Greenbiatt等介绍用丹那唑来诱导暂时性绝经。丹那唑是一种口服的垂体促性腺抑制剂,对抗雌、孕激素,促进蛋白合成。可抑制排卵,抑制卵巢激素,使子宫内膜萎缩。有人报导用丹那唑治疗39名子宫内膜异位症的病人,每日800mg平均应用6个月后,子宫内膜异位症的范围明显缩小。59%的病人已找不到病灶。
At present laparoscopy for early asymptomatic endometriosis can make a clear diagnosis, but also by laparoscopy in infertility women found that 30-40% of endometriosis. According to laparoscopic see, the author will endometriosis according to their degree of incidence is divided into three types: mild: lesions confined to the pelvic peritoneum and genital surface. Moderate: Lesions form scarring and contractures, with mild pelvic adhesions. Severe: ovarian tumor-like hemorrhagic lesions, moderate or severe adhesions, and even violations of distant organs. According to menopause can improve or treat endometriosis, Greenbiatt, etc. introduced with danazol to induce temporary menopause. Danazol is an oral pituitary gonadotropin that counteracts estrogen and progesterone and promotes protein synthesis. Can inhibit ovulation, inhibit ovarian hormones, endometrial atrophy. It was reported that the treatment of 39 endometriosis patients with danazol, 800 mg daily average application of 6 months, the scope of endometriosis was significantly reduced. 59% of patients have not found the lesion.