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卵巢子宫内膜异位囊肿(简称卵巢内异囊肿)是子宫内膜异位症的最常见类型,腹腔镜下卵巢内异囊肿剥除被公认为是标准的手术治疗方式。对于术后卵巢内异囊肿复发的患者,再次手术并非首选。反复手术有可能对卵巢组织造成进一步的损伤,甚至使其功能丧失。因此,对于复发的卵巢内异囊肿患者治疗应慎重,综合考虑患者年龄、疾病严重程度及生育要求,可供选择的方法包括药物治疗、超声引导下囊肿穿刺或联合囊肿内药物灌注以及保守性手术/子宫+附件切除手术。要在遵循初治原则的基础之上,体现个体化与规范治疗。
Ovarian endometriosis cyst (referred to as ovarian cyst) is the most common type of endometriosis, laparoscopic removal of allogeneic ovarian cysts is recognized as the standard surgical treatment. For postoperative ovarian cyst recurrence in patients with reoperation is not preferred. Repeated surgery may cause further damage to ovarian tissue, or even loss of function. Therefore, the treatment of patients with recurrent intrahepatic ovarian cysts should be cautious, considering the patient’s age, severity of disease and reproductive requirements, alternative methods include drug treatment, ultrasound-guided cyst puncture or intra-cyst drug infusion and conservative surgery / Uterus + attachment resection surgery. To follow the principle of initial treatment on the basis of embody the individual and standardized treatment.