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
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