Management of ovarian endometriomas

被引:173
作者
Chapron, C
Vercellini, P
Barakat, H
Vieira, M
Dubuisson, JB
机构
[1] CHU Cochin St Vincent Paul, Clin Univ Baudelocque, Serv Chirurg Gynecol, Hop Paris, F-75014 Paris, France
[2] Univ Milan, Dept Obstet & Gynecol, I-20122 Milan, Italy
[3] ESHRE, SIG Reprod Surg, Grimbergen, Belgium
关键词
endometrioma; intraperitoneal cystectomy; operative laparoscopy; surgery;
D O I
10.1093/humupd/8.6.591
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The efficiency of medical therapy as a unique treatment for endometrioma has not been demonstrated. Operative laparoscopic management is the 'gold standard' for surgical treatment, and there are no indications to prescribe medical treatment before cystectomy. Post-operative administration of low-dose cyclic oral contraceptives does not significantly affect the long-term recurrence of endometriosis after surgical treatment. In case of infertility, the management of endometriomas is controversial. Recurrent ovarian surgery is not recommended.
引用
收藏
页码:591 / 597
页数:7
相关论文
共 96 条
[91]   A gonadotrophin-releasing hormone agonist compared with expectant management after conservative surgery for symptomatic endometriosis [J].
Vercellini, P ;
Crosignani, PG ;
Fadini, R ;
Radici, E ;
Belloni, C ;
Sismondi, P .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1999, 106 (07) :672-677
[92]   Progestins for symptomatic endometriosis: a critical analysis of the evidence [J].
Vercellini, P ;
Cortesi, I ;
Crosignani, PG .
FERTILITY AND STERILITY, 1997, 68 (03) :393-401
[93]  
VERCELLINI P, IN PRESS AM J OBSTET
[94]   A randomized prospective study of laparoscopy and laparotomy in the management of benign ovarian masses [J].
Yuen, PM ;
Yu, KM ;
Yip, SK ;
Lau, WC ;
Rogers, MS ;
Chang, A .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (01) :109-114
[95]   ULTRASOUND-GUIDED ASPIRATION OF ENDOMETRIOMAS - POSSIBLE APPLICATIONS AND LIMITATIONS [J].
ZANETTA, G ;
LISSONI, A ;
DALLAVALLE, C ;
TRIO, D ;
PITTELLI, M ;
RANGONI, G .
FERTILITY AND STERILITY, 1995, 64 (04) :709-713
[96]   EARLY AND SHORT-TERM COMPLICATIONS AFTER US-GUIDED PUNCTURE OF GYNECOLOGIC LESIONS - EVALUATION AFTER 1,000 CONSECUTIVE CASES [J].
ZANETTA, G ;
TRIO, D ;
LISSONI, A ;
DALLAVALLE, C ;
RANGONI, G ;
PITTELLI, M ;
MARZOLA, M ;
PELLEGRINO, A .
RADIOLOGY, 1993, 189 (01) :161-164