第七版妇产科--第三十八章子宫内膜异位症和子宫腺肌病（The seventh edition of Obstetrics and Gynecology, the thirty-eighth chapter of endometriosis and adenomyosis）.docVIP

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第七版妇产科--第三十八章子宫内膜异位症和子宫腺肌病（The seventh edition of Obstetrics and Gynecology, the thirty-eighth chapter of endometriosis and adenomyosis）.doc

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第七版妇产科--第三十八章子宫内膜异位症和子宫腺肌病（The seventh edition of Obstetrics and Gynecology, the thirty-eighth chapter of endometriosis and adenomyosis）

第七版妇产科--第三十八章子宫内膜异位症和子宫腺肌病（The seventh edition of Obstetrics and Gynecology, the thirty-eighth chapter of endometriosis and adenomyosis） The thirty-eighth chapter endometriosis and adenomyosis When the endometrial tissue with growth function appears in other parts of the body lining the uterine cavity, it is called endometriosis (endometfi~sis). Ectopic endometrium can grow far away from the uterus, but the vast majority of lesions occur in the pelvic cavity, the reproductive organs and the adjacent organs of the peritoneal surface, it is often referred to as pelvic endometriosis. Also appeared in the endometrium and growth in myometrium called adenomyosis (adet middle osis). Adenomyosis and endometriosis is caused by ectopic endometrial disease. And they can be combined, but they are in different histogenesis, clinical manifestations are different. So in this chapter are introduced. Section 1 endometriosis The incidence of endometriosis is obviously higher in recent years, and it is one of the most common gynecological diseases. In gynecologic laparotomy, approximately 5% to 15% of the patients were found to have the disease; in patients undergoing laparoscopic surgery for infertility, 12ck, one, 48% had endometriosis. The disease usually found only in women of childbearing age, from 25 to 45 years old. Most of them women before onset of menarche, menopause or after ovariectomy in ectopic endometrial tissue may be gradually shrinking, pregnancy or use of sex hormones on ovarian function can temporarily stop the development of the disease, and the incidence of the periodic change of ovarian endometriosis. The relevant. Epidemiological investigation also found that the incidence of the disease in womens immediate relatives was significantly higher than that in the control group, suggesting that the disease is related to heredity and may be polygenic inheritance. Endometriosis can occur in different parts of the body. But the vast majority of the ovary in the pelvic c