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目的：评价血清抗子宫内膜抗体测定子宫内膜异位症（内异症）的诊断价值。方法：用ＥＬＩＳＡ检测内异症２５例（内异症组）、妇科良性疾病２１例（妇病组）及正常育龄妇女１８例（正常组）血清中的抗子宫内膜抗体（ＥＭＡｂ）。结果：内异症组１４例血清ＥＭＡｂ阳性、占５６％。妇病组１例阳性、占４．８％。正常组２例阳性、占１１．１％。内异症组与两对照组的阳性率差异有显著性（Ｐ＜０．００５）。两对照组间阳性率差异无显著性。测定血清ＥＭＡｂ诊断内异症的敏感性为５６％。特异性为９２．３％。血清ＥＭＡｂ阳性率与内异症的严重程度及月经周期无相关性。结论：血清ＥＭＡｂ的测定有助于内异症的定性诊断。
Objective: To evaluate the value of serum anti-endometrial antibody in the diagnosis of endometriosis (endometriosis). Methods: Serum anti-endometrial antibodies (EMAb) were detected by ELISA in 25 cases of endometriosis (endometriosis group), 21 cases of benign gynecological diseases (women of disease group) and 18 cases of normal women of childbearing age (normal group). Results: 14 cases of endometriosis positive serum EMAb, accounting for 56%. 1 case of gynecological positive, accounting for 4.8%. Normal group 2 cases were positive, accounting for 11.1%. The positive rate of endometriosis group and the two control groups were significantly different (P <0.005). There was no significant difference in the positive rate between the two control groups. The sensitivity of serum EMAb in the diagnosis of endometriosis was 56%. The specificity is 92.3%. Serum EMAb positive rate and the severity of endometriosis and menstrual cycle no correlation. Conclusion: The determination of serum EMAb contributes to the qualitative diagnosis of endometriosis.