论文部分内容阅读
国外对子宫内膜异位症已有多种分期方法,如Beecham、Huffman、Acosta、Kistner、杉木以及1978年美国生育学会邀请9位学者制订的评分分期法等。美国生育学会的计量评分法是根据开腹后所见的腹膜、卵巢、卵管的病灶范围及粘连,分为三个类别,再按左、右附件分别评分记数。Ⅰ期为1～分,Ⅱ期为6～15分,Ⅲ期为16～30分,Ⅳ期为31～54分。1981年Rock报告按此分期施行保守手术后其妊娠率与期别之间有着密切的相关。1985年又重新作了分类,这种分期法有其一定的优点,但必须在术后才能做出。我们参考以上各家的意见,制订了我院子宫内膜异位症的临床分期,目前正在试行,通过实践对不妥之处再行修订。现介绍如下,供临床参考。Ⅰ期:不孕症未能找到不孕原因而有痛经者;或为继发痛经严重者。妇科检查后穹窿粗糙不平滑感,或
Abroad, there are many staging methods for endometriosis, such as Beecham, Huffman, Acosta, Kistner, fir and the scoring staging method that nine scholars invited by the American Fertility Society in 1978. The American Fertility Society’s measurement scoring method is based on the range of peritoneal, ovarian, oviductal lesions and adhesions seen after laparotomy, divided into three categories, and then left and right attachments were scored separately. Stage I was 1 to 2, stage II was 6 to 15, stage III was 16 to 30, and stage IV was 31 to 54. 1981 Rock report according to this stage of conservative surgery after its pregnancy rate and the period has a close relationship between. In 1985 and again classified, this staging method has its own advantages, but must be done after surgery. We refer to the views of each of the above, developed a clinical stage of endometriosis in our hospital, is currently being piloted, through practice to re-amend the irregularities. Now introduced as follows, for clinical reference. Ⅰ stage: infertility failed to find a cause of infertility and dysmenorrhea; or those with serious dysmenorrhea. Gynecological examination after the culm rough rough uneven feeling, or