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病因:子宫内膜异位症的病因有不少学说,一般认为异位的子宫内膜组织的来源有:(1)子宫内膜;(2)病变部位本身组织;(3)兼有上述两种来源。月经周期性雌激素-孕酮刺激似为本病发生与发展的基础,但在有月经周期的妇女只4~17%发病。发现某些家族有发生本病的遗传倾向, 机制不明,是否可能与内分泌、酶或免疫等生理调节机制有关尚待研究,体腔上皮(如盆腔腹膜)的副中肾管衍生物似乎保留有组织发生的多能性。学者们对本病组织来源做了不少实验。关于来源于子宫内膜方面,Culen等已证明子宫腺肌症大多由子宫内膜直接进入子宫肌层发育而成。Sam-
Etiology: There are many causes of endometriosis, it is generally believed that the source of ectopic endometrial tissue are: (1) the endometrium; (2) the lesion itself part of the organization; (3) both the above two Source of species. Menstrual cyclical estrogen - progesterone stimulation seems to be the basis for the occurrence and development of the disease, but only 4 to 17% of women in the menstrual cycle. It is found that some families have genetic predisposition to develop this disease, the mechanism is unknown, and may be related to physiological regulation mechanisms such as endocrine, enzyme or immune remains to be studied. The accessory mesorectal tubular derivatives of the body cavity epithelium (eg, pelvic peritoneum) appear to retain tissue Occurrence of pluripotency. Scholars have done a lot of experiments on the source of the disease. With regard to endometrial origin, Culen et al. Have demonstrated that adenomyosis mostly develops directly from the endometrium into the myometrium. Sam-