Outline
Has the function endometrium organization to grow outside uterine cavity’s spot, is called the endometriosis sickness. The dystopia endometrium may grow is being far away from womb’s spot, but overwhelming majority limitation in ovary and womb, pelvic cavity organizations and so on shinbone ligament. This sickness to carry on the development benign pathological change, has the distant place shift and planter ability. In recent years should sickness disease incidence rate have the trend of escalation, has become the gynecology department common disease, had the report to approximately compose the gynecology department abdominal section 50%, this sickness occurred much in 30-40 year-old woman, the treatment may according to the patient age, the symptom, the pathological change spot and the scope selects the pharmacological treatment or the surgery treats.
Clinical manifestation
1. painful menstruation: Under the secondary and the gradual painful menstruation were the characteristic, the menstruation periodicity outbreak, the menstruation previous 1-2 days start the abdomen to fall the pain, the anus fall the pain, the menstrual period second day reach the peak, the menstrual period conclusion symptom alleviation. 2. sexual intercourse pain. 3. sterile. 4. the menstruation is unusual: The volume of menstrual flow increases or the menstrual period lengthens. 5. acute abdominal pains: The ovary chocolate cyst bursts has acute abdominal pains’ symptom. 6. the womb caster, the adhesion are fixed, the womb rectum falls concavely, the cervix of the uterus canyon department, the womb sacrum ligament may hold and touch a sore spot the tubercle, the appendix spot may touch do not move the cystic package block. These tubercles or Bao Kuai increase before the menstruation, after reduces.
Diagnosis basis
1. the secondary, the gradual painful menstruation, inspects the womb activity to receive limits, the womb sacrum ligament or the womb rectum concave in have touch a sore spot the tubercle. 2. using the synthesis progestogen or the androgen, the painful menstruation reduces. 3. the ultrasound or the CT inspection prompt womb behind has the cystic package block. 4. the peritoneoscope or cuts open the belly searches examines and obtains the living tissue inspection diagnosis.
Principle of reatment
Should according to factor overall evaluations and so on patient age, symptom, pathological change spot and scope as well as to birth request. The symptom is light, uses the pharmacological treatment; The symptom is heavy, pelvic cavity pathological change heavy, uses the surgery to treat.
Medication principle
1. has the birth demander young, the pathological change is light, selects applies drugs the frame to limit “A”, “B”, “C”; 2. the elderly women to alleviate the symptom, once had had the conservative surgery recrudescence; Before the achievement technique prepares the treatment, applies drugs the frame to limit “A”, “B”, “C”; 3. the symptom is heavy, pelvic cavity pathological change heavy, adopts the surgery to treat.
May
03
By: Gelais
