Should endometriosis’s sickness treatment act according to patient’s age, to birth’s request, the symptom, whether there is the pathological change spot and the scope as well as the complications and so on, generalized analysis, determination method of treatment. Treatment including medicine, surgery and radiotherapy and so on. To has the young woman who the birth requests, uses the pharmacological treatment or the conservative surgery as far as possible; Woman feasible entire womb which and double appendix excision method to the age big, the non-birth requests.
(1) pharmacological treatment; Is mainly the hormone therapy. Because the dystopia internal membrane has the response to the ovarian hormone, therefore uses the sex hormone treatment to become this sickness the important method of treatment. The sex hormone treatment is mainly suppresses the ovulation or causes the menopause, causes the dystopia internal membrane to have the degeneration, subsequently necrosis, absorption. Anchors cures approximately some 85% patient’s symptom after the sex hormone to be possible to alleviate, also some patients after treatment pregnancy. But the sex hormone class medicine has the varying degree side reaction as usual, like anorexia, disgusting, liver function not normal and so on, after stopping the medicine, may vanish. Also after some patient long-term use, the curative effect is not very stable, and after stopping the medicine, easy to recur. Therefore the sex hormone treatment must under the instruction apply in doctor. At present the commonly used sex hormone has the androgen, the progestogen, the estrogen, Dan that zuo and so on.
(2) surgery treatment: Is invalid after the pharmacological treatment, the ovary forms the big cyst (internal membrane dystopia), the pelvic cavity pathological change serious or symptom serious, should consider that the surgery treats. The surgery may divide into the conservative nature, the radical cure and half conservative 3 kinds:?Conservative surgery: Is mainly excises the trouble side ovary or strips off the ovary internal membrane dystopia cyst, separates the pelvic cavity adhesion, eliminates the pelvic cavity infection, the retention birth function. This kind of surgery multipurpose at young and request birth’s patient.?Radical cure surgery: Including the entire womb, the double appendix and the pelvic cavity infection excise. Mainly uses in age big near menopause patient the second half conservative surgery; Is excises the womb or the womb infection, excises the pelvic cavity infection, retention one side or the two-sided ovary. Conservative nature or half conservative surgery, because retained the ovary, therefore the pathological change possibly recurs, even must once more surgery. These patients usually after conservative surgery, must use the sex hormone to treat period of time.
