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宫体内膜异位症伴囊肿形成1例诊疗分析 被引量:1
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作者 夏静 要慧萍 《实用妇科内分泌电子杂志》 2018年第25期117-118,共2页
子宫内膜异位症绝大多数位于盆腔脏器和壁腹膜,以卵巢、宫骶韧带最常见,其次为子宫及其他脏腹膜、阴道直肠膈等部位。其在形态学上呈良性表现,但在临床行为学上具有类似恶性肿瘤的特点,如种植、侵袭及远处转移等。主要临床表现为持续加... 子宫内膜异位症绝大多数位于盆腔脏器和壁腹膜,以卵巢、宫骶韧带最常见,其次为子宫及其他脏腹膜、阴道直肠膈等部位。其在形态学上呈良性表现,但在临床行为学上具有类似恶性肿瘤的特点,如种植、侵袭及远处转移等。主要临床表现为持续加重的盆腔粘连、下腹痛与痛经、不孕及性交不适。腹腔镜检查是确诊盆腔内异症的标准方法,病理检查阴性不能排除内异症的可能。治疗分为手术治疗和药物治疗,根据患者年龄、症状、病变部位和范围及对生育要求等给予个体化治疗。 展开更多
关键词 宫体内膜异位症 囊肿 诊疗
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Effect of Yikun Neiyi Wan on the Expression of Aromatase P450,COX-2,and ER Related Receptor in Endometrial Cells in Vitro from Patients with Endometriosis 被引量:5
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作者 王清 赵红 +4 位作者 向清 鞠海 韩淑敏 王龄砚 徐波 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2009年第4期296-300,共5页
To investigate the effect of Yikun Neiyi Wan (益坤内异丸YKNYW) and gestrinone on the expression of aromatase P450 (P450arom), cyclo-oxygenase-2 (COX-2) and estrogen receptor (ER) in isolated ectopic and normal... To investigate the effect of Yikun Neiyi Wan (益坤内异丸YKNYW) and gestrinone on the expression of aromatase P450 (P450arom), cyclo-oxygenase-2 (COX-2) and estrogen receptor (ER) in isolated ectopic and normal endometriat stroma cells in vitro. Methods: Digestion and serial filtration were used to isolate and culture the ectopic and eutopic endometrial cells from patients with chocolate cyst in virto Transformation of the cell morphology was observed in a inverted microscope. The effect of YKNYW on the expression of aromatase P450, cyclo-oxygenase-2, estrogen receptor in cultured endometriosis cells were detected by immunohistochemical method. Results: The expression levels of P450arom, COX-2 in glandular epithelium cells in vitro were decreased significantly by YKNYW compared with gestrinone (P〈0.05). ER expression in mesenchymal cells of endometriosis was increased by YKNYW in the large and medium dosage groups compared with gestrinone. Conclusion: The mechanism by which YKNYW alleviates endometriosis pain is possibly related to the decrease in ectopic endometrial P450 arom and COX-2 expression in glandular epithelium, contrary to gestrinone, and the increase in ER expression in mesenchymalis, consistent with gestrione in patients with endometriosis. 展开更多
关键词 ENDOMETRIOSIS Yi Kun Nei Yi Wan GESTRINONE cyclo-oxygenase-2 (COX-2) aromatase cytochrome P-450 aromates (P450arom) estrogen receptor (ER)
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