最近审阅: 1 十一月 2020
最近更新: 19 三月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 痛经
  • 慢性或周期性盆腔痛
  • 性交疼痛
  • 低生育力
  • 宫骶韧带结节形成
  • 盆腔肿块
  • 子宫后倾、固定
  • 抑郁症

其他诊断因素

  • 排尿困难、腰痛和血尿
  • 大便困难、便血

危险因素

  • 育龄期人群
  • 白种人
  • 阳性家族史
  • 未育
  • 体重指数 (BMI) 较低
  • 苗勒管畸形
  • 自身免疫性疾病
  • 初次性生活年龄较晚
  • 吸烟
  • 既往剖宫产

诊断性检查

首要检查

  • 经阴道超声 (transvaginal ultrasound, TVUS)
更多 首要检查

需考虑的检查

  • 直肠超声内镜
  • 3D 超声
  • 子宫输卵管造影
  • 骨盆核磁共振 (MRI)
  • 诊断性腹腔镜检查
更多 需考虑的检查

治疗流程

撰稿人

M. Jonathon Solnik

Associate Professor of Obstetrics & Gynaecology

Head of Gynaecology & Minimally Invasive Surgery

Faculty of Medicine at the University of Toronto

Mt. Sinai Hospital

Toronto

Canada

利益声明

MJS is an author of a number of references cited in this monograph. He acts as a consultant for AbbVie (manufacturers of depot leuprolide) and Medtronic.

Clinical Fellow

Advanced Gynaecologic Surgery Department

Department of Obstetrics & Gynecology

Mt. Sinai Hospital

University of Toronto

Toronto

Canada

利益声明

AS declares that he has no competing interests.

Dr M. Jonathon Solnik and Dr Ari Sanders would like to gratefully acknowledge Dr Sharon M. Jakus, a previous contributor to this topic. SMJ declares that she has no competing interests.

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Professor

Department of Obstetrics, Gynecology, and Reproductive Sciences

Vice Chairman

Reproductive Sciences

Director

Division of Reproductive Endocrinology and Infertility

University of Pittsburgh

Pittsburgh

PA

利益声明

JSS declares that he has no competing interests.

Professor of Obstetrics and Gynaecology

Leicester Royal Infirmary

Leicester

UK

利益声明

JCK is an author of a reference cited in this monograph.

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