虽经四十多年的研究,外在性子宫内膜异位症(以下简称异位症)的处理仍存在很多问题。关于病因学的客观资料太少,与病因学有关的症状学或临床表现在病人中差异很大,确定诊断往往很困难,治疗方式随治疗目的及病变范围可大不相同。本文目的在于复习此症的临床表现和一些可采用的治疗方法,并提出与目前知识相适应的治疗方案。一、症状学差异很大,病变广泛可无症状,相反,病变很小症状却可能很重。典型症状为痛经,性交疼痛和 After more than forty years of research, there are still many problems in the management of extrinsic endometriosis (hereinafter referred to as extroverted). Objective data on etiology too little, and etiology-related symptoms or clinical manifestations vary widely in patients, to determine the diagnosis is often difficult, with the treatment of treatment purposes and the extent of the disease can vary greatly. The purpose of this article is to review the clinical manifestations of the disease and some of the available treatments and to propose treatment plans that are appropriate for the current knowledge. First, the symptoms vary widely, extensive disease can be asymptomatic, on the contrary, the lesion may be very small symptoms. Typical symptoms are dysmenorrhea, pain and sexual intercourse