青少年子宫内膜异位症的管理要点和策略

doi:10.6040/j.issn.1671-7554.0.2024.0925

摘要/Abstract

摘要： 子宫内膜异位症(内异症)是青少年痛经和慢性盆腔痛的主要病理原因,严重影响青少年身心健康和未来生育力。青少年内异症较成人起病更加隐匿,延迟诊断现象在青少年中更为突出。症状表现更加多样化,易合并胃肠道、泌尿道症状,易出现疼痛综合征。青少年内异症多为早期,无阳性体征和影像学表现不能排除内异症诊断。此类患者应尽早开启经验性药物治疗,短期目标是缓解疼痛,长期目标要注意延缓疾病进展、保护未来生育力。

关键词: 青少年, 子宫内膜异位症, 临床诊断, 药物治疗, 手术治疗

Abstract: Endometriosis represents the primary pathological cause of dysmenorrhea and chronic pelvic pain in adolescents, significantly impacting their physical and mental health as well as future fertility. The issue of delayed diagnosis is particularly pronounced in this population. Compared to adults, adolescent-onset endometriosis tends to present more insidiously, with a broader spectrum of symptoms that often overlap with gastrointestinal and urinary tract manifestations, frequently leading to pain syndromes. Given that adolescent cases are predominantly in the early stages, the absence of positive clinical signs or imaging findings does not exclude the possibility of endometriosis. Therefore, empirical pharmacological treatment should be initiated promptly in such patients. The short-term objective is to alleviate pain, while long-term goals focus on slowing disease progression and safeguarding future fertility.

Key words: Adolescent, Endometriosis, Clinical diagnosis, Medication, Surgical treatment

中图分类号:

R711.71

黄艳,周应芳,彭超. 青少年子宫内膜异位症的管理要点和策略[J]. 山东大学学报 (医学版), 2025, 63(10): 8-12.

HUANG Yan, ZHOU Yingfang, PENG Chao. Management key points and strategies of adolescent endometriosis[J]. Journal of Shandong University (Health Sciences), 2025, 63(10): 8-12.

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