新成像可以进行非外科内分泌症诊断,使大多数病人可以选择外科手术。 New imaging allows non-surgical endometriosis diagnosis, making surgery optional for most patients.

成像的进步,特别是透气超声波,现在能够根据症状和扫描对内宫硬化进行非侵入性诊断,减少作为最初诊断步骤的腹腔外科手术的需要。 Advances in imaging, especially transvaginal ultrasound, now enable non-invasive diagnosis of endometriosis based on symptoms and scans, reducing the need for laparoscopic surgery as the initial diagnostic step. 外科手术不再被视为对所有病例都是强制性的,而是针对严重、抗治疗性疼痛、影响器官的深度内分泌硬化或生育能力问题。 Surgery is no longer seen as mandatory for all cases and is reserved for severe, treatment-resistant pain, deep endometriosis affecting organs, or fertility issues. 虽然外科手术对一些人有帮助,但可能带来粘合和不完全诊断等风险,不能保证症状得到缓解。 While surgery may help some, it carries risks like adhesions and incomplete diagnosis, and does not guarantee symptom relief. 管理日益将荷尔蒙疗法、物理疗法和生活方式改变作为第一线选择的优先重点,反映出这一慢性病向个性化、保守的护理转变。 Management increasingly prioritizes hormonal therapy, physical therapy, and lifestyle changes as first-line options, reflecting a shift toward individualized, conservative care for this chronic condition.