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目的探讨卵巢子宫内膜异位症患者子宫内膜的病理特征。方法回顾性分析1993年至2001年105例卵巢子宫内膜异位症患者的临床资料,观察子宫内膜的病变情况。结果105例子宫内膜异位症患者中子宫内膜的病理变化有增生期子宫内膜、分泌期子宫内膜、子宫内膜息肉、子宫内膜单纯增生、绝经期子宫内膜等多种类型;分布于不同年龄组、单/双侧卵巢受累、合并子宫肌瘤/子宫腺肌症、不规则阴道出血患者中。内膜病变与患者的年龄、单/双侧卵巢受累、不规则阴道出血之间无相关性。结论卵巢子宫内膜异位症患者可同时合并子宫内膜息肉与子宫内膜单纯增生等内膜病变。
Objective To investigate the pathological features of endometrium in patients with ovarian endometriosis. Methods The clinical data of 105 cases of ovarian endometriosis from 1993 to 2001 were retrospectively analyzed. The pathological changes of the endometrium were observed. Results The pathological changes of endometrium in 105 cases of endometriosis patients were proliferative endometrium, secretory endometrium, endometrial polyps, endometrial hyperplasia, menopausal endometrium and other types ; Distributed in different age groups, single / bilateral ovarian involvement, with uterine fibroids / adenomyosis, irregular vaginal bleeding in patients. There was no correlation between endometrial lesions and patient’s age, unilateral / bilateral ovarian involvement, and irregular vaginal bleeding. Conclusion Ovarian endometriosis patients with endometrial polyps can be combined with endometrial hyperplasia and other endometrial lesions.