Поиск оптимальных решений и пересмотр тактики ведения пациенток с эндометриозом
Эндометриоз – это распространенное хроническое заболевание, резко снижающее качество жизни женщин и требующее долгосрочного медикаментозного лечения из-за высокого риска рецидивов после хирургического лечения. Проведен обзор последних публикаций по вопросам патогенеза, современного ведения женщин с эндометриозом с применением неинвазивных методов диагностики и медикаментозной терапии в сравнении с хирургическим лечением во избежание неблагоприятных исходов повторных хирургических вмешательств.Чернуха Г.Е., Марченко Л.А, Гусев Д.В.
Заключение. Медикаментозное лечение c хорошим профилем безопасности и переносимости должно быть терапией первой линии у пациенток с тазовой болью, которые на данный момент времени не заинтересованы в беременности и не имеют показаний для срочного хирургического лечения. Прогестины имеют многие преимущества перед комбинированными оральными контрацептивами для лечения эндометриоза.
Ключевые слова
эндометриоз
хирургическое лечение
медикаментозное лечение
комбинированные оральные контрацептивы
прогестины
диеногест
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Поступила 31.07.2020
Принята в печать 05.08.2020
Об авторах / Для корреспонденции
Чернуха Галина Евгеньевна, д.м.н., профессор, руководитель отделения гинекологической эндокринологии, ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. академика В.И. Кулакова» Минздрава России.Тел.: +7(495)531–44–44. E-mail: g_chernukha@oparina4.ru. 117997, Россия, Москва, ул. Академика Опарина, д. 4.
Марченко Лариса Андреевна, д.м.н., профессор, ведущий научный сотрудник отделения гинекологической эндокринологии, ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. академика В.И. Кулакова» Минздрава России.
Тел.: +7(495) 531–44–44. E-mail: l_marchenko@yandex.ru. 117997, Россия, Москва, ул. Академика Опарина, д. 4.
Гусев Дмитрий Вадимович, к.м.н., научный сотрудник отделения гинекологической эндокринологии, ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. академика В.И. Кулакова» Минздрава России. E-mail: d_gusev@oparina4.ru.
117997, Россия, Москва, ул. Академика Опарина, д. 4.
Для цитирования: Чернуха Г.Е., Марченко Л.А., Гусев Д.В. Поиск оптимальных решений и пересмотр тактики ведения пациенток с эндометриозом.
Акушерство и гинекология. 2020; 8: 12-20
https://dx.doi.org/10.18565/aig.2020.8.12-20