Management of endometriosis CNGOF/HAS clinical practice guidelines - Short version

被引：104

作者：

Collinet, P. ^{[1
,2
]}

Fritel, X. ^{[3
,4
,5
]}

Revel-Delhom, C. ^{[41
]}

Ballester, M. ^{[6
]}

Bolze, P. A. ^{[7
,8
]}

Borghese, B. ^{[9
,10
]}

Bornsztein, N. ^{[11
]}

Boujenah, J. ^{[12
,13
]}

Brillac, T. ^{[15
]}

Chabbert-Buffet, N. ^{[6
,16
,17
]}

Chauffour, C. ^{[14
]}

Clary, N. ^{[18
]}

Cohen, J. ^{[6
]}

Decanter, C. ^{[19
,20
]}

Denouel, A. ^{[21
]}

Dubernard, G. ^{[22
]}

Fauconnier, A. ^{[23
,24
]}

Fernandez, H. ^{[20
,26
]}

Gauthier, T. ^{[27
,28
]}

Golfier, F. ^{[29
]}

Huchon, C. ^{[23
]}

Legendre, G. ^{[30
,31
]}

Loriau, J. ^{[32
]}

Mathieu-d'Argent, E. ^{[6
,33
,34
]}

Merlot, B. ^{[35
]}

Niro, J. ^{[36
]}

Panel, P. ^{[36
]}

Paparel, P. ^{[37
]}

Philip, C. A. ^{[22
]}

Ploteau, S. ^{[38
]}

Poncelet, C. ^{[39
,40
]}

Rabischong, B. ^{[14
]}

Roman, H. ^{[42
]}

Rubod, C. ^{[1
,2
]}

Santulli, P. ^{[9
,10
]}

Sauvan, M. ^{[25
]}

Thomassin-Naggara, I. ^{[43
,44
]}

Torre, A. ^{[45
]}

Wattier, J. M. ^{[46
]}

Yazbeck, C. ^{[47
,48
]}

Bourdel, N. ^{[14
]}

Canis, M. ^{[14
]}

机构：

[1] CHRU Lille, Hop Jeanne de Flandre, Clin Gynecol, F-59000 Lille, France

[2] Univ Lille Nord de France, F-59000 Lille, France

[3] INSERM, CIC 1402, Serv Gynecol Obstet & Med Reprod, 2 Rue Mil, F-86000 Poitiers, France

[4] Univ Poitiers, F-86000 Poitiers, France

[5] INSERM, CIC 1402, F-86000 Poitiers, France

[6] CHU Tenon, APHP, Serv Gynecol Obstet & Med Reprod, 4 Rue Chine, F-75020 Paris, France

[7] CHU Lyon Sud, Serv Chirurg Gynecol Oncol, Obstet, 165 Chemin Grand Revoyet, F-69495 Pierre Benite, France

[8] Univ Claude Bernard Lyon 1, F-69000 Lyon, France

[9] CHU Cochin, APHP, Serv Chirurg Gynecol Obstet & Med Reprod 2, 27 Rue Faubourg St Jacques, F-75014 Paris, France

[10] Univ Paris 05, Sorbonne Paris Cite, Equipe Genom Epigenet & Physiopathol Reprod, Dept Dev,Reprod,Canc,Inserm,U1016, 12 Rue Ecole Med, F-75270 Paris 06, France

[11] 29 Rue Essonne, F-91000 Evry, France

[12] CHU Bondy, Serv Gynecol Obstet, Ave 14 Juillet, F-93140 Bondy, France

[13] Ctr Med Chateau, 22 Rue Louis Besquel, F-94300 Vincennes, France

[14] CHU Estaing, Serv Gynecol Obstet & Reprod Humaine, 1 Pl Lucie Aubrac, F-63003 Clermont Ferrand, France

[15] 98 Route Blagnac, F-31200 Toulouse, France

[16] Sorbonne Univ, GRC 6 Ctr Expert Endometriose C3E, F-75005 Paris, France

[17] Sorbonne Univ, INSERM, UMR S938, F-75005 Paris, France

[18] 3 Rue Pablo Picasso, F-92160 Antony, France

[19] CHRU Lille, Hop Jeanne de Flandre, Serv Assistance Med Procreat & Preservat Fertil, 1 Rue Eugene Avinee, F-59037 Lille, France

[20] CHRU Lille, EA 4308 Gametogenese & Qual Gamete, F-59037 Lille, France

[21] EndoFrance, BP 50053, F-01124 Montluel, France

[22] CHU Lyon HCL, GH Nord Hop Croix Rousse, Clin Gynecol & Obstet, 103 Grande Rue Croix Rousse, F-69317 Lyon, France

[23] CHI Poissy St Germain, Serv Gynecol Obstet, 10 Rue ChampGaillard, F-78303 Poissy, France

[24] Univ Versailles St Quentin En Yvelines, EA 7285 Risques Clin & Secur Sante Femmes, F-78180 St Quentin En Yvelines, France

[25] CHU Bicetre, APHP, Serv Gynecol Obstet, 78 Ave Gen Gaulle, F-94275 Le Kremlin Bicetre, France

[26] Univ Paris Sud, INSERM, CESP, U1018,Equipe Epidemiol & Evaluat Strategies & Pri, F-94807 Villejuif, France

[27] CHU Limoges, Hop Mere Enfant, Serv Gynecol Obstet, 8 Ave Dominique Larrey, F-87042 Limoges, France

[28] Fac Med, UMR 1248, F-87042 Limoges, France

[29] CHU Lyon Sud, Serv Chirurg Gynecol & Oncol Obstet, F-69495 Pierre Benite, France

[30] CHU Angers, Serv Gynecol Obstet, 4 Rue Larrey, F-49033 Angers 01, France

[31] Univ Paris Sud, INSERM, CESP, U1018,Equipe 7 Genre Sante Sexuelle & Reprod, F-94276 Le Kremlin Bicetre, France

[32] GH Paris St Joseph, Serv Chirurg Digest, 185 Rue Raymond Losserand, F-75001 Paris, France

[33] Univ Pierre & Marie Curie Paris 6, F-75005 Paris, France

[34] UPMC, GRC6, Hop Tenon, C3E, Paris, France

[35] 10 Clin Tivoli Ducos, F-33000 Bordeaux, France

[36] Ctr Hosp Versailles, Serv Gynecol Obstet, 177 Route Versailles, F-78157 Le Chesnay, France

[37] CHU Lyon Sud, Serv Urol, 165 Chemin Grand Revoyet, F-60495 Pierre Benite, France

[38] CHU Nantes, Hop Mere Enfant, Serv Gynecol Obstet & Med Reprod, 8 Blvd Jean Monnet, F-44093 Nantes, France

[39] CH Renee Dubos, Serv Gynecol Obstet, 6 Ave Ille de France, F-95300 Pontoise, France

[40] Univ Paris 13, Sorbonne Paris Cite, UFR SMBH, F-93022 Bobigny, France

[41] Haute Autorite Sante, 5 Ave Stade France, F-93218 Le Plaine St Denis, France

[42] CHU Charles Nicolle, Clin Gynecol & Obstet, Ctr Expert Diagnost & Prise Charge Multidisciplin, 1 Rue Germont, F-76031 Rouen, France

[43] Hop Tenon, APHP, Serv Imagerie, 4 Rue Chine, F-75020 Paris, France

[44] UPMC Univ Paris 06, Sorbonne Univ, Inst Univ Cancerol, Assistance Publ, F-75006 Paris, France

[45] CHU Montpellier, Hop Arnaud de Villeneuve, Serv Gynecol Obstet & Med Reprod, 371 Ave Doyen Gaston Giraud, F-34295 Montpellier, France

[46] CHRU Lille, Hop Claude Huriez, Ctr Etud & Traitement Douleur, Rue Michel Polonowski, F-59000 Lille, France

[47] Hop Foch, APHP, Serv Gynecol Obstet, 40 Rue Worth, F-92151 Suresnes, France

[48] Clin Pierre Cherest, Ctr Assistance Med Procreat, 5 Rue Pierre Cherest, F-92200 Neuilly Sur Seine, France

来源：

JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION | 2018年 / 47卷 / 07期

关键词：

D O I：

10.1016/j.jogoh.2018.06.003

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

First-line diagnostic investigations for endometriosis are physical examination and pelvic ultrasound. The second-line investigations are: targeted pelvic examination performed by an expert clinician, transvaginal ultrasound performed by an expert physician sonographer (radiologist or gynaecologist), and pelvic MRI. Management of endometriosis is recommended when the disease has a functional impact. Recommended first-line hormonal therapies for the management of endometriosis-related pain are combined hormonal contraceptives (CHCs) or the 52 mg levonorgestrel-releasing intrauterine system (IUS). There is no evidence base on which to recommend systematic preoperative hormonal therapy solely to prevent surgical complications or facilitate surgery. After surgery for endometriosis, a CHC or 52 mg levonorgestrel-releasing IUS is recommended as first-line treatment when pregnancy is not desired. In the event of failure of the initial treatment, recurrence, or multiorgan involvement, a multidisciplinary team meeting is recommended, involving physicians, surgeons and other professionals. A laparoscopic approach is recommended for surgical treatment of endometriosis. HRT can be offered to postmenopausal women who have undergone surgical treatment for endometriosis. Antigonadotrophic hormonal therapy is not recommended for patients with endometriosis and infertility to increase the chances of spontaneous pregnancy, including postoperatively. Fertility preservation options must be discussed with patients undergoing surgery for ovarian endometriomas. (C) 2018 Elsevier Masson SAS. All rights reserved.

引用

页码：265 / 274

页数：10

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