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子宫内膜异位症(简称内异症)随着腹腔镜检查的普及,其发生率增加,从表面蓝紫色斑点的轻症至子宫直肠凹陷的冰冻骨盆的重症,其临床表现多种多样。 体腔上皮化生说:为Iwanoff(1989年)与Meyer(1903年)提出。苗勒氏管是由胚胎时期体腔上皮凹陷形成的管状结构,腹腔内浆膜和卵巢上皮均来源于体腔上皮,与由苗勒氏管发生而来的子宫内膜属同源组织。因此由于激素和炎症引起的刺激也同样作用于腹腔的浆膜与卵巢上皮使之化生为类似于子宫内膜的腺体与间质组织这就是体腔上皮化生说。在为治疗前列腺癌而长期给予雌激素的男性,也有发生内异症的报道,即为支持该学说的有力证据。即
Endometriosis (referred to as endometriosis) with the popularity of laparoscopy, the increased incidence of mild blue-purple spots from the surface of the uterus to the rectum frozen pelvis serious, its clinical manifestations varied. Body cavity epithelial metaplasia: proposed by Iwanoff (1989) and Meyer (1903). Müllerian duct is a tubular structure formed by the recess of the body cavity epithelium during the embryonic period. Both the intraperitoneal serosal and ovarian epithelium originate from the body cavity epithelium and are homologous to the endometrium from the Müllerian canal. Therefore, due to hormones and inflammatory stimuli also act on the peritoneal serosal and ovarian epithelial metaplasia to make it similar to the endometrial gland and interstitial tissue that is the body cavity epithelial metaplasia. Men with long-term estrogen use in the treatment of prostate cancer are also reported to have endometriosis as evidence of their support. which is