卵巢巧克力囊腫概要課件

CLOIG/O卵巢巧克力囊腫金凡汪玲Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLCLOIG/O1概論定義:子宮內膜異位癥(內異癥)是指子宮內膜在子宮腔以外的部位出現(xiàn)生長、侵潤、反復出血,或者引發(fā)疼痛、不育及結節(jié)包塊內異癥是育齡婦女最常見的疾病之一(以25-45歲多見)發(fā)病率呈明顯上升趨勢,可達10%~15組織學上為良性,卻有增生、浸潤、轉移及復發(fā)等惡性行為Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概論2病因●子宮內膜異位癥是良性病變,但具有惡性腫瘤的遠處轉移及種植生長能力,病因至今尚未闡明,有如下學說●種植學說:經(jīng)血逆流、淋巴及靜脈播散、醫(yī)源性種植體腔上皮化生●誘導學說:遺傳因素、免疫因素、炎癥Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL病因3病理特點卵巢型子宮內膜異位癥約80%患者病變累及一側卵巢50%患者同時波及雙側卵巢。卵巢的異位內膜病灶分為兩種類型微小病變型為位于卵巢淺表層的紅色、藍色或棕色等斑點或小囊病灶只有數(shù)亳米大小典型病變型又稱囊腫型。異位內膜在卵巢皮質內生長周期性出血以至形成單個或多個囊腫,典型情況下,陳舊性血液聚集在囊內形成咖啡色粘稠液體,似巧克力樣故俗稱卵巢“巧克力囊腫”Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL病理特點4靜EvaluauononrchAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL靜5巧克力囊腫子宮肌腺痼輸卵管粘連子宮內膜異位病灶Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL巧克力囊腫6Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluauononr.7臨床表現(xiàn)痛經(jīng)及慢性盆腔痛●性交痛月經(jīng)異常不孕急腹痛Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL臨床表現(xiàn)8痛經(jīng)及慢性盆腔痛●繼發(fā)性,進行性加重●首日最劇●持續(xù)整個經(jīng)期下腹深部和腰骶部痛●疼痛可向會陰、肛門、大腿放射●可有直腸刺激癥Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL痛經(jīng)及慢性盆腔痛9性交痛●發(fā)生率30%●深部痛●見于子宮直腸陷凹有病灶及子宮后傾固定者●月經(jīng)來潮前更顯著性交時碰撞及子宮收縮、提升造成Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL性交痛10卵巢巧克力囊腫概要課件11卵巢巧克力囊腫概要課件12卵巢巧克力囊腫概要課件13卵巢巧克力囊腫概要課件14卵巢巧克力囊腫概要課件