endometriosis

　　Among them, pelvic endometriosis is Uterus Mainly intimal implantation and body cavity metaplasia； For endometriosis outside the pelvis, lymphatic dissemination is more likely.

　　prevention

　　1. Avoid endometrial implantation caused by surgical operations ① Avoid cesarean section during the second trimester. If surgery is really necessary, use gauze to protect the surgical field around the uterine incision to prevent the contents of the uterine cavity from overflowing into the abdominal cavity or abdominal wall incision. ②It is forbidden to perform various fallopian tube patency tests before menstruation to prevent endometrial debris from entering the abdominal cavity.

　　2. Prevent reflux of menstrual blood ① Generally do not have menstrual period Pelvic examination . If necessary, the procedure should be gentle to avoid squeezing the uterus. ②If there is obstruction of menstrual blood outflow caused by reproductive tract malformation, surgical treatment should be performed in time.

　　3. Age-appropriate marriage and childbearing and drug contraception can delay the occurrence and development of this disease because pregnancy. For married gestational age or after marriage Dysmenorrhea Women should conceive promptly. Those who already have children can take long-term contraceptive pills to suppress ovulation, causing endometrial atrophy and reduced menstrual flow.

　　4. Cervical freezing, electrolysis, conization and plastic surgery should not be performed alone before menstruation, otherwise there is a risk of endometrium implanting in the surgical wound. When the uterus is aspirated for artificial abortion, the negative pressure in the uterine cavity should not be too high and then the suction tube is suddenly pulled out. This will cause the membrane fragments to flow into the abdominal cavity along with the blood in the uterine cavity.

　　treat

　　Comprehensive consideration should be made based on the patient's age, symptoms, location and extent of lesions, and fertility requirements.

　　1. non-surgical treatment

　　①Observation: Applicable to those with less serious pelvic lesions and asymptomatic or mild symptoms. Generally, pelvic examination is performed every 6 months. If mild pain occurs during menstruation, anti-inflammatory drugs such as anti-inflammatory drugs can be given accordingly.

　　②Sex hormone treatment: The commonly used drug for high-efficiency progesterone cycle therapy is Qianuo Toilet (Fukang Tablets). Jiaye pregnancy explanation (Funing tablets). A pregnancy toilet (An Guan Zhi Li), 4 to 8 mg per day, taken from the 5th to 26th day of the menstrual cycle, inhibits ovulation, and can be taken continuously for 3 to 6 cycles. I androgen methyl pill 5 mg is taken sublingually, once a day, for 3 to 6 months, and the total monthly dose should not exceed 300mg. A small dose of the original drug can relieve pain, but does not inhibit ovulation. ； Fake menopause Oral danazol therapy is suitable for patients with mild to moderate lesions, obvious dysmenorrhea or infertility. It can also be used as drug preparation before conservative surgery to reduce the scope of surgery. Dosage: 400-800mg. Take it continuously for 6 months starting from the first day of menstruation. Menstruation will resume within 4 to 6 weeks after stopping taking danazol, and the pregnancy rate after taking the drug is about 50%.