子宫内膜异位症(endometriosis)-张喜精品.pptVIP

Medication others： gestrinone （孕三烯酮） mifepristone（米非司酮） * Free template from Surgical treatment Purposes： ⑴ diagnosis and classification ⑵ excise or destroy all endometriotic tissue ⑶ remove all adhesions, restore pelvic anatomy ⑷ enhance fecundity ⑸ relieve pain * Free template from Surgical treatment laparoscopy + medicine golden standard of treatment * Free template from Surgical treatment Modes of surgical operation: (1) Fertility preservation (2) Ovarian function preservation (3) Radical surgery (4) Surgery for pain relief * Free template from Treatment Combination of medication and surgery surgery + medication medication + surgery + medication Treatment for patients with infertility * Free template from Prevention Prevent retrograde flow of menses Contraception with medicine Avoid iatrogenic (医源性) implantation of the ectopic endometrium * Free template from Adenomyosis * Free template from Definition Adenomyosis is defined by the presence of endometrial glands and stroma within the myometrium. It is associated with myometrial hypertrophy and proliferation. * Free template from Endometriosis ＆ Adenomyosis Pathogenesis ＆ histological confirmation Sites of lesions Clinical findings Adenomyosis is thought to be unrelated to endometriosis. * Free template from Clinical findings Multiparas（＞40 y） were most commonly affected. Symptoms： prolonged and heavy menses Dysmenorrhea that worsens over time Pelvic exam： enlargement of uterus tenderness * Free template from Diagnosis Typical symptoms and signs Histopathologic examination —— standard of the diagnosis B ultrasound would suggest the disease. * Free template from Treatment 1. Medication ：GnRH-a 2. Surgical treatment : total hysterectomy * Free template from Thank you ! * Free template from * Free template from Free template from