Endometrial lesions are one of the common gynecological diseases in clinical practice. They are a manifestation of endometrial abnormalities, and the symptoms of endometrial lesions are also similar, most of which include symptoms such as menstrual abnormalities. As for how to treat endometrial lesions, targeted treatment is required. 1. Endometrial thickening (1) Hormone replacement: It is not advisable to use large amounts of exogenous hormones to impact the endocrine system of the body that is already in a disordered state in an attempt to achieve the purpose of treating the disease. In particular, the shortcomings of hormones such as long treatment course, low cure rate and serious side effects have gradually attracted the attention of the clinical community. The most worrisome side effect is a doubling or tripling of the risk of endometrial cancer in menopausal women. Therefore, it will not be introduced. (2) Surgical treatment: The purpose of surgical treatment is mainly to prevent the lesion from developing into endometrial cancer. The applicable subjects are usually the following: ① Those who are ineffective in drug treatment or relapse after drug discontinuation. ② Those aged >40 and have no fertility requirements. ③ Those who are difficult to differentiate from endometrial cancer. ④Patients who choose surgery. 2. Endometriosis Conservative surgery: mainly used for young people who want to have children. The uterus and its appendages are preserved (bilaterally as much as possible), and only the lesions are removed, adhesions are separated, the ovaries are reconstructed, and the tissues are repaired. In recent years, the application of microscopy The surgical procedure was performed to remove the ectopic lesions, carefully suture the wound, reconstruct the pelvic peritoneum, carefully stop bleeding, and thoroughly flush the area to achieve the best surgical results, increase the success rate of pregnancy after surgery, and reduce the recurrence rate. 3. Acute endometritis General treatment: Acute endometritis should be treated by bed rest, preferably in a semi-recumbent position, to help limit the inflammation and drain the uterine secretions; hot compresses can be applied to the lower abdomen to promote the absorption of inflammation and relieve pain; Keep bowel movements smooth to relieve pelvic congestion and facilitate the excretion of toxins. |
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