子宫内膜异位症的研究进展

The endometriosis research progress

子宫内膜异位症病因复杂,以"种植学说"被广泛接受。病理变化为异位内膜周期性出血及其周围组织纤维化。临床表现子宫内膜组织腺体和间质在子宫内膜以外的部位、生长、浸润、出血,可形成结节及包块,引起疼痛和不育等。腹腔镜检查是诊断内异症的金标准,诊断的依据主要基于腹腔镜下病灶的形态。显示子宫内膜异位症治疗十分棘手,除根治性手术外几无治愈的可能。

Etilogy of endometriosis was complex,but ＂cultivation theory＂ is widely accepted.The pathological changes of endometrial was ectopic endometrial cyslical bleeding and the surrounding tissue fibrosis.The growth,infiltration and hemorrhage of endometrial glands and stroma outside endometrium might develop into nodules and mass which might be the causes of infertility.Laparoscopy examination was considered as the gold standard for endometriosis diagnosis which was mainly based on the shape of laparoscopic lesions.It is very difficult to cure endometriosis and there was no other treatment except radical surgery.