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深部浸润型子宫内膜异位症(deep infiltrating endometriosis,DIE)是指病灶浸润到腹膜下深度≥5mm的内膜异位症,一般多见于盆腔后部。此类患者虽然临床症状明显,但辅助检查阳性率较低、手术难度大、术中并发症多、术后复发率高,是目前子宫内膜异位症诊治中最棘手的难题。如何解决这些难题需要进行大样本的循证医学调查后,总结得出诊治规范。但目前的现状是国内妇科对本病的诊断名称混乱,标准不一,治疗方法也存在较大的争议。本文拟通过文献综述对这些问题进行探讨。
Deep infiltrating endometriosis (DIE) refers to endometriosis where the lesion infiltrates into the peritoneum at a depth of ≥5 mm, which is more common in the posterior pelvic region. Although these patients have obvious clinical symptoms, but the positive rate of auxiliary examination is low, the difficulty of surgery, intraoperative complications, high recurrence rate is currently the most difficult problem diagnosis and treatment of endometriosis. How to solve these problems requires a large sample of evidence-based medical research, concluded that the diagnosis and treatment of norms. However, the current status quo is the domestic gynecological diagnosis of the disease confusion, different standards, there is a big controversial treatment. This article intends to discuss these issues through literature review.