Generally speaking, endometriosis can be divided into four types. The symptoms of the four conditions are similar and pose a great threat to the patient's uterine health. Endometriosis is a relatively common gynecological disease, so everyone should understand the symptoms of this disease in life and understand their own body in time. 1. Peritoneal endometriosis: Peritoneal endometriosis refers to various endometriosis lesions occurring in the peritoneum of the pelvic and abdominal cavities, mainly including red lesions (early lesions), blue lesions (typical lesions) and white lesions (old lesions). 2. Ovarian endometriosis: Ovarian endometriosis can form cysts, called endometriosis cysts (endometriosis cysts); according to the size of the cyst and the degree of infiltration of the ectopic lesions, they are divided into: Type I: The cyst diameter is <2cm, the cyst wall has adhesions, the anatomical layers are unclear, and it is difficult to remove it during surgery. Type II: It is further divided into 3 subtypes: IIA: The endometrial implants are superficial, involving the ovarian cortex and not reaching the wall of the ovarian endometriosis cyst. It is often accompanied by functional cysts, which are easy to remove during surgery. Ⅱ B: The endometrial implants have involved the wall of the ovarian endometriosis cyst, but the boundary with the ovarian cortex is clear and it is easier to remove during surgery. II C: Endometrial implants penetrate the wall of the ovarian endometriosis cyst and extend to the surrounding area. The cyst wall is tightly adhered to the ovarian cortex and is accompanied by fibrosis or multilocular cavities. The cyst is adhered to the pelvic side wall and is large in size, making it difficult to remove during surgery. 3. Deep infiltrating endometriosis: Deep infiltrating endometriosis refers to lesion infiltration depth I>5mm, which is commonly found in the uterosacral ligament, rectouterine pouch, vaginal vault, rectovaginal septum, etc. There are two types of rectovaginal septum. One is pseudorectovaginal septum endometriosis, that is, the adhesion of the rectouterine pouch is closed, and the lesion is located below the adhesion; the other is true rectovaginal septum endometriosis, that is, the lesion is located outside the peritoneum, inside the rectovaginal septum, and there is no obvious anatomical abnormality in the rectouterine pouch. 4. Endometriosis in other parts of the body: Endometriosis in other parts of the body can affect the digestive, urinary, and respiratory systems, and can cause scar endometriosis and other rare distant endometriosis. |
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