icon fsr

文献詳細

雑誌文献

臨床婦人科産科70巻2号

2016年03月発行

文献概要

今月の臨床 不妊女性に対する手術療法─適応・タイミングと手技のコツ

軽度子宮内膜症

著者: 泉谷知明1 前田長正1

所属機関: 1高知大学産科婦人科

ページ範囲:P.190 - P.196

文献購入ページに移動
●軽度子宮内膜症の診断には,腹腔鏡下での観察と病理診断が必要である.

●軽度子宮内膜症を伴う不妊に対する腹腔鏡下手術は,妊孕能を改善するが,その効果は限定的である.

●軽度子宮内膜症の合併が疑われる不妊症例においては,年齢・不妊期間・他の不妊因子の有無・疼痛の程度を考慮したうえで,腹腔鏡の適応を決定する.

参考文献

1) Missmer SA, et al : Incidence of laparoscopically confirmed endometriosis by demographic, anthropometric, and lifestyle factors. Am J Epidemiol 160 : 784─796, 2004
2) American Society for reproductive medicine : revised american society for reproductive medicine classification of endometriosis : 1996. Fertil Steril 67 : 817─821, 1997
3) Barrueto FF, et al : Sensitivity of Narrow Band Imaging compared with white light imaging for detection of endometriosis. J Minim Invasive Gynecol 22 : 846─852, 2015
4) Tulandi T, et al : Reproductive outcome after treatment of mild endometriosis with laparoscopic excision and electrocoagulation. Fertil Steril 69 : 229─231, 1998
5) Chang FH, et al : Efficacy of isotopic 13CO2 laser laparoscopic evaporation in the treatment of infertile patients with minimal and mild endometriosis : a life table cumulative pregnancy rates study. J Am Assoc Gynecol Laparosc 4 : 219─223, 1997
6) Marcoux S, et al : Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. N Engl J Med 337 : 217─222, 1997
7) Duffy JM, et al : Laparoscopic surgery for endometriosis. Cochrane Database Syst Rev : CD011031, 2014
8) Werbrouck E, et al : No difference in cycle pregnancy rate and in cumulative live-birth rate between women with surgically treated minimal to mild endometriosis and women with unexplained infertility after controlled ovarian hyperstimulation and intrauterine insemination. Fertil Steril 86 : 566─571, 2006
9) Opøien HK, et al : Complete surgical removal of minimal and mild endometriosis improves outcome of subsequent IVF/ICSI treatment. Reprod Biomed Online 23 : 389─395, 2011
10) Practice Committee of the American Society for Reproductive Medicine. Endmetriosis and infertility : a committee opinion. Fertil Steril 98 : 591─598, 2012
11) Matorras R, et al : Fertility in women with minimal endometriosis compared with normal women was assessed by mians of donor insemination program in unstimulated cycles. Am J Obstet Gynecol 203 : 345. e1─6, 2010
12) Hughes E, et al : Ovulation suppression for endometriosis. Cochrane Database Syst Rev : CD000155, 2007
13) Kemmann E, et al : Does ovulation stimulation improve fertility in women with minimal/mild endometriosis after laser laparoscopy? Int J Fertil Menopausal Stud 38 : 16─21, 1993
14) Deaton JL, et al : A randomized, controlled trial of clomiphene citrate and intrauterine insemination in couples with unexplained infertility or surgically corrected endometriosis. Fertil Steril 54 : 1083─1088, 1990
15) Fedele L, et al : Superovulation with human menopausal gonadotropins in the treatment of infertility associated with minimal or mild endometriosis : a controlled randomized study. Fertil Steril 58 : 28─31, 1992
16) Harb HM, et al : The effect of endometriosis on in vitro fertilization outcome : a systematic review and meta-analysis. BJOG 120 : 1308─1320, 2013
17) 日本産科婦人科学会 : 2.子宮内膜症性不妊の治療方針.子宮内膜症取扱い規約 第2部 治療編・診療編.pp59─64,金原出版,2010
18) 日本産科婦人科学会,日本産婦人科医会 : CQ221 嚢胞性病変を伴わない子宮内膜症の治療は? 産婦人科診療ガイドライン─婦人科外来編 2014.pp94─96,日本産科婦人科学会事務局,2014
19) 日本産科婦人科内視鏡学会 : CQ12 子宮内膜症性腹膜病変に対する腹腔鏡下手術は有用か? 産婦人科内視鏡手術ガイドライン2013年版.pp63─65,金原出版,2013
20) Dunselman GA, et al : ESHRE guideline : management of women with endometriosis. Hum Reprod 29 : 400─412, 2014
21) Leyland N, et al : Endometriosis : diagnosis and management. J Obstet Gynaecol Can 32 : S1─32, 2010
22) Koch J, et al : Endometriosis and infertility-a consensus statement from ACCEPT(Australasian CREI Consensus Expert Panel on Trial evidence). Aust N Z J Obstet Gynaecol 52 : 513─522, 2012

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1294

印刷版ISSN:0386-9865

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?