国际生殖健康/计划生育 ›› 2022, Vol. 41 ›› Issue (2): 147-151.doi: 10.12280/gjszjk.20210622

• 综述 • 上一篇    下一篇

青少年痛经与子宫内膜异位症的关系

戴宇, 高嘉鸿, 卢小颖, 刘翎, 金平()   

  1. 518028 广东省深圳市妇幼保健院
  • 收稿日期:2021-12-27 出版日期:2022-03-15 发布日期:2022-03-29
  • 通讯作者: 金平 E-mail:pingjin66@126.com

Relationship of Dysmenorrhea and Endometriosis in Adolescents

DAI Yu, GAO Jia-hong, LU Xiao-ying, LIU Ling, JIN Ping()   

  1. Shenzhen Maternal and Child Health Care Hospital, Shenzhen 518028, Guangdong Province, China
  • Received:2021-12-27 Published:2022-03-15 Online:2022-03-29
  • Contact: JIN Ping E-mail:pingjin66@126.com

摘要:

子宫内膜异位症(endometriosis,EMs)是女性常见的妇科疾病,痛经、慢性盆腔痛及不孕是其主要临床表现。EMs的发病机制尚不清楚,但EMs相关暴露因素和发生、发展可贯穿女性一生,对女性生命健康造成严重的负面影响。痛经是青少年女性最常见的月经症状,EMs是青少年继发性痛经最常见的原因。青少年痛经与EMs的诊断密切相关,但目前校园、家庭和医疗机构对于青少年痛经的重视程度远远不足。从青少年痛经开始监控和管理EMs的发生,进行健康教育和心理治疗,提高对该病的认识,建立有效的患病风险预测模型,及时进行预防和诊疗,将有助于避免疾病的进展,有效降低EMs对女性全生命周期的不良影响。

关键词: 青少年, 痛经, 子宫内膜异位症, 诊断, 预测, 治疗

Abstract:

Endometriosis (EMs) is a common gynecological disease, with the main clinical manifestations of dysmenorrhea, pelvic pain and infertility. The pathogenesis of EMs is unknown, but the endometrioid-related factors and disease development can occur throughout a woman′s life. EMs has a serious negative impact on women′s lives and health. Dysmenorrhea is the most common menstrual symptom in adolescent women, and EMs is the most common cause of secondary dysmenorrhea in adolescents. There is a close correlation between dysmenorrhea in adolescents and the subsequent diagnosis of EMs. At present, the campus, family and medical institutions pay far less attention to dysmenorrhea in adolescents. Monitoring and managing the occurrence of EMs from dysmenorrhea in teenagers, health education and psychological treatment, improving the understanding of the disease, establishing an effective disease risk prediction model, and timely prevention and treatment will help to avoid the progression of the disease and effectively reduce the adverse impact on the whole life cycle of women.

Key words: Adolescent, Dysmenorrhea, Endometriosis, Diagnosis, Forecasting, Therapy