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1、NormsontheDiagnosisandTreatmentofEndometriosisEndometriosisCoordinationGroup,Gynecology&ObstetricsSociety,ChineseMedicalAssociationCommunicationauthor:LangJinghe,Email:langjh@hotmail.com;Gynecology&ObstetricsDept.,PekingUnionMedicalCollegeHospital,ChineseAcademyofMedicalSciences(1
2、00730)Editor’snote:Endometriosisisacommonandfrequentdiseaseintheyoungandmiddle-agedwomen.Atpresent,itsincidenceratetendstoriseevidently,butitsdiagnosisandtreatmentstillhavemanyproblemsforsolving.Inordertonormalizethediagnosis/treatmentofendometriosis,undertheleadershipofProf.LangJ
3、inghe,theEndometriosisCoordinationGroupintheGynecology&ObstetricsSocietyofChineseMedicalAssociationpreparesthisnormthroughtherepeateddiscussion,protocoldraftingandfiverevisions.Thisnormaimstobetterguidetheworkofclinicaldoctors.Endometriosismeanstheoccurrence,growth,infiltrationand
4、recurrenthemorrhageofendometrialtissues(glandandmesenchyme)atthesitesotherthanendometrium,whichcanformthenodesandmassandcausethepainandinfertility.Endometriosisisfrequentinthewomenoffertilityage,anditsincidenceratetendstoriseevidently.Itpossessesthefollowingcharacteristics:(1)Unma
5、tchedillnessseveritywiththesymptomsandsigns;(2)Extensivepolymorphiclesion;(3)Extremelyinfiltratingtoformanextensiveseriousadhesion;and(4)Hormone-dependent,andhighlyrecurrent.I.ClinicalPathologicalType1.Peritonealendometriosis(PEM):Itmeansvariousendometriosisfociatthepelvic/abdomin
6、alperitoneum.Mainlyincluding:Redlesion(earlyone),bluelesion(typicalone)andwhitelesion(oldone).2.Ovarianendometriosis(OEM):Itcanformacyst,i.e.endometrioticcyst.Accordingtothesizeofcystandtheinfiltrationdegreeofendometriosisfoci,itcanbeclassifiedintotwotypes.TypeI:Cystdiameterof<2cm
7、;andadhesivecystwallofunclearanatomicallayeranddifficultsurgicalstripping.Therearethreesub-typesofTypeII.IIA:Superficialendometrialplantingfoci,involvingtheovarycortexbutnotreachingtheOEMcystwall;oftenwithconcomitantfunctionalcystofveryeasysurgicalstripping;IIB:Endometrialplanting
8、fociinvolvingtheOEMcystwall,butat
