[附件] feminine_sex板hightemper板主不當劣文
※ [本文轉錄自 Fant1408 信箱]
作者: Fant1408 ( ) 看板: feminine_sex
標題: [提醒] 巧克力囊腫 忍痛忍成不孕
時間: Wed Sep 14 23:30:51 2011
http://www.libertytimes.com.tw/2011/new/sep/14/today-health8.htm
記者蔡文正／彰化報導
彰化縣林姓婦人罹患俗稱「巧克力囊腫」的子宮內膜異位瘤，卵巢內長了2顆直徑約14公
分的腫瘤，每次月經疼痛時，她就自購止痛藥服用，一再忍痛造成不孕。
彰化市婦產科醫師蔡鋒博表示，子宮內膜異位發生率不低，如果不積極治療容易不孕。
蔡鋒博說，子宮內膜異位患者，是因月經堆積在卵巢內形成卵巢腫瘤，因內容物像坊間的
巧克力，也俗稱「巧克力囊腫」，一般生育年齡的婦女發生率約7%，但一等親內有此症狀
者，發生率則是一般人的7倍。
子宮內膜異位症的患者最常見是經痛，蔡鋒博表示，通常在月經來潮前，便有腹部不適症
狀，但多數患者會自購止痛藥止痛，造成腫瘤擴大，未妥適治療可能合併骨盆腔沾黏、輸
卵管阻塞等，造成受孕能力下降，增加子宮外孕機會。
蔡鋒博指出，此症藥物治療可採用黃體素、口服避孕藥、性腺荷爾蒙刺激素類似劑，一個
療程約4至6個月，且期間不會懷孕也不適合懷孕。手術方面則有傳統的開腹手術、腹腔鏡
手術或超音波導引吸取術，只要輸卵管未阻塞，手術後，仍有懷孕的機會。
蔡鋒博強調，子宮內膜異位症每年復發率約20%、5年復發率40%，病患治療後要定期追蹤
，有計畫懷孕者治療半年內無法如願，可考慮進行人工生殖，沒結婚或還沒有計畫懷孕者
應使用口服避孕藥，以減少復發率。
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※ Deleted by: hightemper (114.27.139.169) 09/15/2011 00:44:49
劣文原因: 劣文退回(鬧板劣退)[提醒] 巧克力囊腫 忍痛忍成不孕
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