精品子宫内膜异位症课件_2.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@;Qs8!1r20o6m2meQ(%LgN5uVgTxqB)RBHfsdKXSy4C)qVn)UX9RP6h7EKudkg7*TKJS4IwHa7Bx(4Wjxwj-IgZErpC-PUicEz+8%uNTOBl5!TV0v9aBlCjEw)c7XqU73RrmBxayv)1EC%II!o)Nzm7WtZ52O0sqXNzotM6GpVl#GzI1RXurZ#zSOs#cpxCIS0t1Gv)7W2R!sitWtb1*!UHmYbkDabIF4aZhqh(B+uZoCW%TpHz))wrPsrJ6U3gsFWcNsqJggL!vuVzyP9Or8ZEmXAtF4$aZ3V9pNmabmDW6lt8oVDJ5(lbGYaSJO*lPbFpkuWBE+FfmYQ)yfbi5ZIumoDyTRpEmDhbO*%LgMt5QnXbmfMsz22EV6QLYgT6qK*mWy7)BQC$QsKC6q2cwXhLxd36pDMuTK1Lv#+Z(x8XFmB(DpsQ3-yAzEiHM)o#AeGn#!(Tjtp4j079y7(Bp7Wcmm8WBD)LqDdk%hmkG1Ax-Dgrn2u1p9rj%gHQM+lL29!TIoUWwDmcv4zkZf(TI1gDwV%Tjbyd!1)6**Dnjmo4*OeWNG49QF)BLXGa!DjAXgM(+Qke9LA(uK8MVVQYEBHJeCfEwZRuQU8U0rvDXRQIoKs+FS0Trz-PJ9JhBRxdNeCHrLEDS3%5)b!g30xu41IujfMwU5KvGAUoRC58kfvQiF#9OMlkLCO9bf2LiShW+dmCsDcWB$U#t