Young and still retain the function of reproduction patients with endometriosis viable cysts and lesions removed for resection of such operations for the conservative surgery. Can now be down in laparoscopic surgery operation, a smaller incision, as soon as possible after surgery for pregnancy. High rate of recurrence.
Endometriosis growth in the myometrium outside the tissues or organs, such as ovarian, pelvic peritoneum, rectum, etc. at the vagina. As ectopic endometrial also in the menstrual cycle and the effects of ovarian hormones thickening, bleeding, but not drainage and stimulate the surrounding tissue, cause the uterus to contract, leading to dysmenorrhea.
The disease is the common diseases of women of childbearing age, occurs in 31 to 45-year-old woman. , The typical clinical manifestations: from the menstrual cycle and even before the beginning of the second half of that is, abdominal pain, and continued throughout the menstrual period, to gradually disappear after the menstrual clean, with the passage of time, dysmenorrhea often aggravated sexual. Dysmenorrhea heavier, often accompanied by nausea, vomiting, diarrhea and other symptoms. Ectopic endometrial and prostate peritoneal fluid within the content of the excessive increase is caused by the fundamental reason for dysmenorrhea, but about 20 percent of patients can not dysmenorrhea. In addition, it may have sexual intercourse pain, bleeding between periods, such as fertility. Endometriosis growth in the ovary, can form cysts or endometriosis "chocolate cyst", sometimes cyst ruptured, caused acute abdominal pain, and this is the need to distinguish from the dysmenorrhea.
Gynaecological examinations, doctors often find that after dumping the uterus, limited activities; cervical, uterine of the rear often palpable to the size of painful nodules, and sometimes can also be found on both sides of uterine tumors. Finally need to rely on diagnostic laparoscopy.
Treatment methods include:
(1) drug treatment: fake drugs such as the treatment of postmenopausal women danazol, the PR, gossypol, gonadotropin-releasing hormone (GNRH) synergist, and so on. In addition to a class of drugs such as fake pregnant women Tablet (megestrol acetate), UNIFEM Tablet (norethindrone), Pu Weila (the Palace progesterone). Pain can be a serious confrontation with the use of prostaglandin synthesis of substances such as fluoride eliminate acid, indomethacin, Fen Bide, Kai-Fu and other treatment.
(2) treatment: the conservative surgery and radical surgery two.
① young and still retain the function of reproduction patients with endometriosis viable cysts and lesions removed for resection of such operations for the conservative surgery. Can now be down in laparoscopic surgery operation, a smaller incision, as soon as possible after surgery for pregnancy. High rate of recurrence.
② to refrain from fertility patients, all of the uterus and possible lesions removed, to retain one or both of the ovary, after supplemented with drug treatment, the recurrence rate lower.
③ if nearly menopausal women feasible radical surgery, or to hysterectomy, double-ovary, fallopian tubes and resection of resection of lesions, so to avoid the recurrence of residual lesions.
Endometriosis is a benign disease, reported in the literature, the malignant ovarian cyst chocolate rate of less than one percent.
Endometriosis growth in the myometrium outside the tissues or organs, such as ovarian, pelvic peritoneum, rectum, etc. at the vagina. As ectopic endometrial also in the menstrual cycle and the effects of ovarian hormones thickening, bleeding, but not drainage and stimulate the surrounding tissue, cause the uterus to contract, leading to dysmenorrhea.
The disease is the common diseases of women of childbearing age, occurs in 31 to 45-year-old woman. , The typical clinical manifestations: from the menstrual cycle and even before the beginning of the second half of that is, abdominal pain, and continued throughout the menstrual period, to gradually disappear after the menstrual clean, with the passage of time, dysmenorrhea often aggravated sexual. Dysmenorrhea heavier, often accompanied by nausea, vomiting, diarrhea and other symptoms. Ectopic endometrial and prostate peritoneal fluid within the content of the excessive increase is caused by the fundamental reason for dysmenorrhea, but about 20 percent of patients can not dysmenorrhea. In addition, it may have sexual intercourse pain, bleeding between periods, such as fertility. Endometriosis growth in the ovary, can form cysts or endometriosis "chocolate cyst", sometimes cyst ruptured, caused acute abdominal pain, and this is the need to distinguish from the dysmenorrhea.
Gynaecological examinations, doctors often find that after dumping the uterus, limited activities; cervical, uterine of the rear often palpable to the size of painful nodules, and sometimes can also be found on both sides of uterine tumors. Finally need to rely on diagnostic laparoscopy.
Treatment methods include:
(1) drug treatment: fake drugs such as the treatment of postmenopausal women danazol, the PR, gossypol, gonadotropin-releasing hormone (GNRH) synergist, and so on. In addition to a class of drugs such as fake pregnant women Tablet (megestrol acetate), UNIFEM Tablet (norethindrone), Pu Weila (the Palace progesterone). Pain can be a serious confrontation with the use of prostaglandin synthesis of substances such as fluoride eliminate acid, indomethacin, Fen Bide, Kai-Fu and other treatment.
(2) treatment: the conservative surgery and radical surgery two.
① young and still retain the function of reproduction patients with endometriosis viable cysts and lesions removed for resection of such operations for the conservative surgery. Can now be down in laparoscopic surgery operation, a smaller incision, as soon as possible after surgery for pregnancy. High rate of recurrence.
② to refrain from fertility patients, all of the uterus and possible lesions removed, to retain one or both of the ovary, after supplemented with drug treatment, the recurrence rate lower.
③ if nearly menopausal women feasible radical surgery, or to hysterectomy, double-ovary, fallopian tubes and resection of resection of lesions, so to avoid the recurrence of residual lesions.
Endometriosis is a benign disease, reported in the literature, the malignant ovarian cyst chocolate rate of less than one percent.
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