精品子宫内膜异位症课件_1.ppt

;子宫内膜异位症Endometriosis;;教学目的要求;定义 Definition;Age: common in reproductive period True Incidence Unknown: ? 1-5% 30 – 50 % infertility. Does NOT Discriminate by Race. Herdietary (↑↑ among sisters). ;Pelvic 宫骶韧带及卵巢 - Extra pelvic Umbilicus. Scars (Lap.). Lungs ;Uterine= Adenomyosis (50%). Extraut: - Ovary 30% - Pelvic peritoneum 10%. - F. tube. - Vagina. -Bladder rectum. - Ligaments.;;体腔上皮化生学说;;;;;;Pathology 病理;病理;;Symptoms (history). Signs (Exam). Investigations. ;Symptoms症状;异位症引起不孕的原因;1. Pelvic tenderness. 2. Fixed retroverted uterus. 3. Nodularity of the Douglas pouch and uterosacral ligaments. 4. Ovaries may be enlarged and tender . Ovarian cyst may be detected.;1. Laparoscopy .腹腔镜------金标准 2. Imaging. B超 3. Serum CA - 125. 4. ? IL-8 CEA.;Laparoscopy;Appearance: Endometriosis May Appear Brown Black (“Powderburn”) Clear (“Atypical”) ;1.Ovarian cysts.卵巢恶性肿瘤 2. Pelvic inflammatory disease . 盆腔炎性包块 3. Asymmetrical enlarged uterus. ;;Ovarian Endometriosis ;;;临床分期 Staging;Revised AFS 1985;Stage ;Stage ;Treatment 治疗;Treatment (Rationale);Expectant .期待治疗 Medical. 药物治疗 Surgical. 手术治疗 ;Expectant treatment ;Endometriosis IVF;Medical Treatment;Surgical Treatment ;;;;三 步 疗 法;预 后;预 防;总结Conclusion;思 考 题;制 作 简 介; Email. aixingzi@;ZnVkSgPdMaI7Fy(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C1z)ws!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)vs!pXmUjRfOcK9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)vs#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgPdLaI6F3C0y)vs#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-wt!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkThPeMaJ7G4C1z-wt!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)ws!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)ws!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdMaI7F3C0z)vs!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)vs#pXlUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E