妇产科 子宫内膜异位症.ppt

文档介绍：子宫内膜异位症EndometriosisEndometriosisSummary?Definition?Pathogenesis?Pathology ?Clinical presentation ?Diagnosis?Differential diagnosis?Treatment?Prevention一、概念(DEFINITION)子宫内膜异位症(Endometriosis,EM)1、子宫内膜组织(腺体和间质) 2、子宫体以外部位1、子宫内膜组织(腺体和间质) 2、子宫体以外部位异位子宫内膜子宫内膜出现的部位二、发病机制(PATHOGENESIS)? implantation Theory (Retrograde menstruation)b .淋巴及静脉播散(Hematogenous or lymphatogenous transport)? implantation Theory (Retrograde menstruation)b .淋巴及静脉播散(Hematogenous or lymphatogenous transport)? Theory? Theory?3 .诱导学说Induction Theory?3 .诱导诱导学说学说Induction Theory异位子宫内膜的来源:二、发病机制(PATHOGENESIS)?1 .ic factors?1 .ic factors发病相关因素:?2 .免疫学说Immunologic abnormalities?2 .免疫免疫学说学说Immunologic abnormalities三、病理(PATHOLOGY)??11、、基本病理变化基本病理变化(Basal pathological (Basal pathological changes)changes)纤维组织纤维组织增生增生(Fibrosis)和粘连粘连((Adhesions))redclear2、巨检(pathological anatomy)?(1)、卵巢最多见,卵巢子宫内膜异位囊肿(Endometriomas)→卵巢巧克力样囊肿卵巢巧克力样囊肿((Chocolate CystChocolate Cyst))。。三、病理卵巢巧克力样囊肿卵巢巧克力样囊肿((Chocolate CystChocolate Cyst))2、巨检(2)、宫骶韧带、Douglas陷凹和子宫后壁下段腹膜→→→→是好发部位好发部位早期异位内膜病变晚期异位内膜病变