Поиск оптимальных решений и пересмотр тактики ведения пациенток с эндометриозом

Чернуха Г.Е., Марченко Л.А, Гусев Д.В.

ФГБУ «Научный центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Минздрава России, Москва, Россия
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.
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

Список литературы

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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

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