Donnez Jacques, Smets Mireille, Jadoul Pascale, Pirard Celine, Squifflet Jean
Department of Gynecology, Université Catholique de Louvain, Cliniques Universitaires St Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium.
Ann N Y Acad Sci. 2003 Nov;997:274-81. doi: 10.1196/annals.1290.031.
Peritoneal endometriosis is probably caused by the implantation of regurgitated menstrual cells. The ovarian endometrioma is the consequence of non-hormone-regulated bleeding from intraovarian epithelial inclusions after they have undergone metaplasia into endometrial-like tissue. Rectovaginal adenomyosis is, in fact, an adenomyotic lesion and can develop from Müllerian rests. In conclusion, peritoneal endometriosis, ovarian endometriosis, and rectovaginal adenomyotic nodules must be considered as three separate entities with different pathogeneses that require a different therapeutic approach.
腹膜子宫内膜异位症可能由逆流的月经细胞植入引起。卵巢子宫内膜异位囊肿是卵巢上皮包涵体化生为子宫内膜样组织后发生的非激素调节性出血的结果。直肠阴道腺肌病实际上是一种腺肌病病变，可起源于苗勒管残余。总之，腹膜子宫内膜异位症、卵巢子宫内膜异位症和直肠阴道腺肌病结节必须被视为具有不同发病机制的三个独立实体，需要不同的治疗方法。
