输卵管子宫内膜异位症的研究进展

Literature Review on Tubal Endometriosis

输卵管子宫内膜异位症(tubal endometriosis,TEM)是指子宫内膜异位在输卵管组织上。因其发病率较低,且症状不特异,诊断仅依靠术后病理,相关研究较为欠缺;但TEM发病率近年来明显上升,其对机体造成的影响及社会影响不可忽视,也引起了更多关注。近年来对TEM的研究,如TEM的临床症状、诊断与治疗方法,及其发病机制,包括对输卵管结构和功能的影响、TEM与不孕症和癌症的关系等,都取得了一定的进展。TEM的研究既有利于TEM本身发病机制的明确、诊断分期标准的确立和精准治疗方案的制定,也将为子宫内膜异位症和输卵管性不孕症等疾病的治疗提供思路。结合文献报道,对TEM的研究现状综述如下。

Tubal endometriosis（TEM）, one kind of EMs, refers to endometriosis arisen on the fallopian tube. Because of its low incidence, nonspecific symptom and difficulty in diagnosing before surgery, there is not many related researches on TEM;but apparently, its incidence is rising rapidly these years, causing non-negligible effects on body and society. Recently some progress has been made on the researches on TEM, such as the clinical manifestations, methods of treatment and diagnosis, and its pathogenesis including structural and functional effects on the Fallopian tube, the relationships between TEM and infertility etc. Studying TEM helps not only to promote the cognition of the pathogenesis of TEM, but also to formulate a specific diagnostic and therapeutic schedule, and to give a direction on treating EMs and tubal factor infertility as well. According to the literature report now available, the research status of TEM is reviewed as follow.