1st, sterile: Approximately some 50% about in different sickness patient are accompanied by sterile, in unknown cause sterile patient, in approximately 30-40% troubles different sickness. In different sickness contracts sterile, because often the pathological change creates the pelvic cavity tumour, the adhesion, the oviduct jamming graafian follicle growth not good or factors and so on ovulation barrier causes; But once is pregnant, then the dystopia internal membrane receives suppresses withers, internal different sickness has the very good treatment, in the routine miscarriage case has the part for the endometriosis sickness result.
2nd, painful menstruation: In the different sickness clinical characteristic is the gradual painful menstruation, is common and the prominent characteristic, many are the secondary, namely from has the internal membrane dystopia to start, the patient related when former menstrual onset and does not have the ache, but starts from some time to present the painful menstruation, may occur after the menstruation, the menstruation and menstruation. Some painful menstruations are heavy hard to endure, needs to have bedrest or the medication stops pain, even the pain “rolls the kang” or rams, the ache often aggravates along with the menstrual cycle, the menstruation ended vanishes, but the domestic report had 21% approximately the indolence to pass through.
3rd, periodic rectum stimulation symptom: Carries on the aggravating periodic rectum stimulation symptom rarely in other gynecology department illness sickness, diagnoses this sickness most valueable sickness marquis. The rectum, the anus, outside the genitals fall the bulge, to fall the pain, the tenesmus feeling and the bowel movement number of times increase. When the pathological change aggravates gradually, the symptom is day by day obvious, but after symptom vanishing.
4th, abnormal menstruation: In the different sickness patient common menstrual cycle reduces, increases or after the quantity phenomena and so on menstrual period extension, showed that the patient has the ovarian function barrier performance. The abnormal menstruation may make the diagnosis reference, but in differential diagnosis and insignificant.
5th, sexual intercourse pain: When exists in the vagina dome department dystopia endometrium tubercle, the rectum hollow tubercle or the adhesion, or ovary adhesion when trough bottom, may have the sexual intercourse pain. When the extravagant ligament later generations infection fibrosis proliferation and the contraction are obvious, may the exogenetic oppression ureter, cause its narrow blocking, also possibly has the uninary system symptom, serious may have the ureter water or the hydronephrosis.
6th, periodic urinary bladder stimulation symptom: When in the different sickness pathological change implicates the urinary bladder peritoneum counter-pleat or infringement musculus vesicalis strata time, will simultaneously present symptoms and so on menstrual period urgency of urination, frequent micturition. If the pathological change infringement urinary bladder mucous membrane (urinary bladder endometriosis sickness) has the periodic hematuria and the ache.
7th, around the menstrual period or passes by the acute abdominal pains: Generally for the ovary endometrium cyst, has the wearing out characteristic, most patients because of ovarian cysts reverse or extra-uterine pregnancy, but emergency surgery. If the surgery does not change for the better time, the pelvic cavity adhesion aggravates, repeatedly will burst from now on also has acute abdominal pains.
8th, under the periodicity the abdomen is ill: This symptom’s frequency of occurrence is higher than the painful menstruation, in different sickness patient who the indolence passes through is everlasting lies in this symptom. Appears in mild case patient, although or certain pathological changes heavy, but as a result of the threshold of feeling individuality difference or other reasons, does not have the painful menstruation symptom only to have the menstrual period backache, under the abdomen to fall the bulge uncomfortableness.
9th, the abdominal wall scar and the navel region endometriosis sickness presents the periodic partial tumour and the ache.
10th, the intrinsic endometriosis sickness patient often the womb swells, but very little surpasses 3 month pregnancies. If after is, the position womb, the adhesion is often fixed.
11th, in the womb rectum nest, the womb shinbone ligament either the cervix of the uterus behind often may touch 1-2 or more rigid tubercles, if the mung bean or the soybean size, have obvious touching a sore spot much, the anus examines is more obvious, this is very important. The ovarian cysts may the solstice fist be big, because the common cyst contents overflow and the dystopia internal membrane hemorrhage, the pelvic cavity internal organs adhesion aggravates freezes the pelvic cavity shape, is so-called widespread in different sickness. The pathological change degree weight is different when the symptom difference is very big.
12th, ultrasound acoustic image chart: the ultrasound developing is the present auxiliary diagnosis endometriosis sickness efficacious device, mainly uses to observe the ovary endometriosis cyst, its acoustic image chart’s characteristic is:
(1) the cystic tumour, the boundary clear or is unclear. If around the cyst the adhesion is heavy, then the boundary is unclear; If the cyst and the womb or the peritonsillar tissue adhesion are few, then the boundary is clear. The cyst many are the median size, in the cyst obviously the granulated tiny echo, is the pouch fluid sticks the thick performance. Sometimes presents the crowded thick luminous spot image because of the obsolete blood clot concentrater, assumes the mixing property to swell massive.
(2) the tumour often is located at the womb rear end, obviously the cyst womb follows sickness.
when (3) cyst spontaneous rupture, after acoustic image graphical representation hollow, before the cyst, reduces.
(4) peritoneoscopy: The peritoneoscopy is the present diagnosis endometriosis sickness new standard, may peep at the pelvic cavity directly through the peritoneoscope, saw that the dystopia infection is then clear diagnoses, and may carry on clinical by stages, decides the therapeutic schedule.
May
03
By: Gelais
