子宫内膜异位症多学科团队模式管理现状与前景
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冷金花,女,博士,主任医师,教授,博士研究生导师。 中国医师协会妇产科分会常委兼总干事,中国医师协会妇产科分会内异症学组组长,内异症及子宫疾病协会( SEUD)理事,中华医学会妇产科分会妇科内镜学组副组长,中国医药教育协会妇科专委会副主任委员,十三五及十四五国家科技部重点研发计划首席专家。 主要研究方向:子宫内膜异位症及子宫腺肌症的诊治。

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国家重点研发计划(编号:2022YFC2704000);北京协和医院中央高水平医院临床科研专项(编号:2022-PUMCH-B-085)


Current status and prospects of multidisciplinary team management for endometriosis
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    摘要:

    子宫内膜异位症(简称内异症)是一种涉及多个器官的复杂慢性疾病,其临床管理需要应对多种症状并采取多样化的治疗策略。 目前,如何通过多学科团队合作模式为患者提供更精确、个性化的治疗方案,已成为临床管理的焦点和挑战。 内异症的临床表现多变,影响多个器官,治疗方法包括药物治疗、手术治疗、心理支持等多个方面。 由于单一学科的治疗模式无法全面满足患者需求,因此需要多学科共同参与规划和诊治。 构建有效的多学科团队( MDT)模式,以及在实际操作中实现跨学科的有效沟通和协作,是实施 MDT 模式时的关键挑战。 近年来,国内外学者的共识和指南均强调了内异症长期慢性病管理需要全程管理、个体化、精准的治疗策略。 2021 年《子宫内膜异位症中国专家指南》和 2022 年初的欧洲人类生殖与胚胎学会(ESHRE)指南均突出了 MDT 在提升内异症诊疗效果中的核心作用。 MDT 模式在内异症围手术期、相关不孕和疼痛评估与长期管理中的应用,能够显著提升治疗效果。 MDT 模式能够整合各学科的资源和优势,为患者制定个性化的治疗方案,从而提高治疗效果,减少并发症,提升患者的生活质量。 随着医疗技术的不断进步和跨学科合作的深入发展,MDT 模式在内异症的治疗中将会得到更广泛的应用和推广。 未来内异症 MDT 将更加注重患者的个体差异和全面管理,建立标准化协作流程,为患者提供更加个性化、精准化的医疗服务。

    Abstract:

    Endometriosis (abbreviated as EMT) is a complex chronic disease involving multiple organs. Its clinical management requires addressing multiple symptoms and adopting diverse treatment strategies. Currently, how to provide patients with moreprecise and personalized treatment plans through multidisciplinary team ( MDT) collaboration has become the focus and challenge inclinical management. The clinical manifestations of endometriosis are highly heterogeneous. It affects multiple organ systems. Its treatment methods include drug therapy, surgical treatment, psychological support and other aspects. Since the treatment model of a singlediscipline cannot fully meet the needs of patients, multiple disciplines are required to participate in planning and diagnosis and treatment. The establishment of effective MDT models and the realization of efficient cross-disciplinary communication and coordination inclinical practice remain key challenges in MDT implementation. In recent years, both domestic and international consensus guidelineshave emphasized that the long-term chronic disease management of endometriosis requires holistic management, individualized approaches and precision strategies. Both 2021 Chinese Expert Consensus on Endometriosis and 2022 European Society of Human Reproduction and Embryology (ESHRE) guidelines highlight the central role of MDT in enhancing diagnostic and therapeutic outcomes. The application of the MDT model in the perioperative period, related infertility and pain assessment and long-term management of endometriosis can significantly improve the treatment effect. The MDT model can integrate the resources and advantages of various disciplines todevelop personalized treatment plans for patients, thereby improving treatment outcomes, reducing complications, and improving patients' quality of life. With the continuous advancement of medical technology and the in-depth development of interdisciplinary cooperation, the MDT model will be more widely used and promoted in the treatment of endometriosis. In the future, endometriosis MDT willpay more attention to individual differences and comprehensive management of patients, establish standardized collaborative processes,and provide patients with more personalized and precise medical services.

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冷金花,李晓燕.子宫内膜异位症多学科团队模式管理现状与前景[J].实用医院临床杂志,2025,22(3):10-12

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  • 收稿日期:2025-03-27
  • 最后修改日期:2025-03-30
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  • 在线发布日期: 2025-05-25
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