子宫内膜异位症的硬化治疗及其对卵巢储备的影响——综述。

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY
Katarína Ivánková, Hynek Heřman, Jan Drahoňovský, Lucie Hájková Hympánová
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引用次数: 0

摘要

总结目前关于硬化疗法在子宫内膜异位瘤治疗中的应用及其对卵巢储备的影响。子宫内膜异位症影响10-15%的育龄妇女。子宫内膜异位瘤的存在和治疗影响卵巢储备,从而影响患者受孕的可能性。经常性的复发使管理更加复杂。所有标准的手术方法都会导致卵巢储备的减少。目前的临床研究重点是开发使卵巢储备减少最小化的方法。乙醇硬化疗法是一种相对较新的替代目前使用的手术方法,主要是切除。这还不是一个标准的程序。本文旨在总结目前关于使用硬化疗法治疗子宫内膜异位瘤及其对卵巢储备的影响的知识。这篇综述文章中包含的研究基于PubMed和Scopus数据库。根据已发表的文献,硬化疗法是一种相对简单的方法,可以在超声引导下治疗子宫内膜异位瘤,无需手术和全身麻醉。其复发率与腹腔镜切除相似,并且与后者相比不会导致卵巢储备的更大减少。硬化疗法可经阴道、经腹腔或腹腔镜进行。本文就硬化疗法对卵巢储备的影响进行综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sclerotherapy of endometrioma and its impact on ovarian reserve - a narrative review.

To summarize current knowledge on the use of sclerotherapy in the treatment of endometriomas and its effect on ovarian reserve. Endometriosis affects 10-15% of women of reproductive age. The presence and treatment of endometriomas influence ovarian reserve, and therefore the conception possibilities of patients. The management is further complicated by frequent recurrences. All standard surgical methods lead to a reduction in ovarian reserve. Current clinical research is focused on developing methods that minimize the reduction of ovarian reserve. Ethanol sclerotherapy is a relatively new alternative to the currently used surgical methods, mainly extirpation. It is not yet a standard procedure. This article aims to summarize the current knowledge regarding the use of sclerotherapy in the treatment of endometriomas and its effect on ovarian reserve. The studies included in this review article are based on PubMed and Scopus databases. According to published works, sclerotherapy is a relatively simple method that allows treating endometriomas without surgery and general anaesthesia if performed under ultrasound guidance. It has a similar recurrence rate as laparoscopic extirpation and does not lead to a greater reduction in ovarian reserve compared to the latter. Sclerotherapy can be performed trans-vaginally, trans-abdominally, or laparoscopically. This paper summarizes the current knowledge on the impact of sclerotherapy on ovarian reserve.

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来源期刊
Ceska Gynekologie-Czech Gynaecology
Ceska Gynekologie-Czech Gynaecology OBSTETRICS & GYNECOLOGY-
CiteScore
0.60
自引率
25.00%
发文量
57
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