The #Enzian classification: A comprehensive non-invasive and surgical description system for endometriosis

被引：186

作者：

Keckstein, Joerg ^{[1
,2
,3
]}

Saridogan, Ertan ^{[4
]}

Ulrich, Uwe A. ^{[1
,5
]}

Sillem, Martin ^{[1
,6
,7
]}

Oppelt, Peter ^{[1
,8
]}

Schweppe, Karl W. ^{[1
]}

Krentel, Harald ^{[1
,9
]}

Janschek, Elisabeth ^{[1
,10
]}

Exacoustos, Caterina ^{[11
]}

Malzoni, Mario ^{[12
]}

Mueller, Michael ^{[1
,13
]}

Roman, Horace ^{[14
]}

Condous, George ^{[15
]}

Forman, Axel ^{[16
]}

Jansen, Frank W. ^{[17
]}

Bokor, Attila ^{[18
]}

Simedrea, Voicu ^{[19
]}

Hudelist, Gernot ^{[1
,20
]}

机构：

[1] Sci Endometriosis Fdn, Stiftung Endometriose Forsch SEF, Westerstede, Germany

[2] Endometriosis Clin Dres Keckstein, Richard Wagner Str 18, A-9500 Villach, Austria

[3] Univ Ulm, Ulm, Germany

[4] Univ Coll Hosp, Dept Obstet & Gynaecol, London, England

[5] Martin Luther Hosp, Endometriosis Ctr, Dept Obstet & Gynecol, Berlin, Germany

[6] Praxisklin Rosengarten, Mannheim, Germany

[7] Saarland Univ, Dept Obstet & Gynecol, Sch Med, Homburg, Germany

[8] Kepler Univ Hosp Linz, Dept Gynecol Obstet & Gynecol Endocrinol, Linz, Austria

[9] Bethesda Hosp, Dept Obstet & Gynecol, Duisburg, Germany

[10] Villach Gen Hosp, Dept Obstet & Gynecol, Villach, Austria

[11] Univ Cattolica Sacro Cuore, Dept Obstet & Gynecol, Rome, Italy

[12] Endoscop Malzoni Ctr Adv Endoscop Gynecol Surg, Avellino, Italy

[13] Univ Bern, Dept Obstet & Gynecol, Inselspital, Bern, Switzerland

[14] Clin Tivoli Ducos, Endometriosis Ctr, Bordeaux, France

[15] Univ Sydney, Acute Gynaecol Early Pregnancy & Adv Endoscopy Su, Sydney Med Sch Nepean, Nepean Hosp, Sydney, NSW, Australia

[16] Aarhus Univ Hosp, Dept Gynecol & Obstet, Aarhus, Denmark

[17] Leiden Univ Med Ctr, Dept Gynecol, Leiden, Netherlands

[18] Semmelweis Univ, Fac Med, Dept Obstet & Gynecol, Budapest, Hungary

[19] Regina Maria Clin, Dept Obstet & Gynecol, Timisoara, Romania

[20] Hosp St John God, Ctr Endometriosis, Dept Gynaecol, Vienna, Austria

来源：

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA | 2021年 / 100卷 / 07期

关键词：

#Enzian classification; classification system; endometriosis; r-ASRM classification; DEEP ENDOMETRIOSIS; CONSENSUS OPINION; SONOGRAPHIC FEATURES; DEFINITIONS; TERMS; DESCRIBE; SOCIETY;

D O I：

10.1111/aogs.14099

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Advances in preoperative diagnostics as well as in surgical techniques for the treatment of endometriosis, especially for deep endometriosis, call for a classification system, that includes all aspects of the disease such as peritoneal endometriosis, ovarian endometriosis, deep endometriosis, and secondary adhesions. The widely accepted revised American Society for Reproductive Medicine classification (rASRM) has certain limitations because of its incomplete description of deep endometriosis. In contrast, the Enzian classification, which has been implemented in the last decade, has proved to be the most suitable tool for staging deep endometriosis, but does not include peritoneal or ovarian disease or adhesions. To overcome these limitations, a comprehensive classification system for complete mapping of endometriosis, including anatomical location, size of the lesions, adhesions and degree of involvement of the adjacent organs, that can be used with both diagnostic and surgical methods, has been created through a consensus process and will be described in detail-the #Enzian classification.

引用

页码：1165 / 1175

页数：11

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