Nisolle M, Paindaveine B, Bourdon A, Berlière M, Casanas-Roux F, Donnez J
Department of Gynecology, University of Louvain, Brussels, Belgium.
Fertil Steril. 1990 Jun;53(6):984-8. doi: 10.1016/s0015-0282(16)53571-7.
The present study included 118 patients undergoing a laparoscopy for infertility. In 86 patients with laparoscopically diagnosed endometriosis (group I), biopsies were taken from areas of apparent endometriosis (n = 86) and from a visually normal peritoneum (n = 52). Histology reveals the presence of endometriosis in 93% of positive sites and in 13% of negative sites. In 32 patients without endometriosis at laparoscopy (group II), biopsies were taken from normal uterosacral ligaments (n = 32). Endometriosis was observed in 6% of cases. Despite the increased ability to detect pigmented and nonpigmented endometriotic lesion, histological study revealed the presence of endometriosis in normal peritoneum in 13% (group I) and 6% (group II) of cases.
本研究纳入了118例因不孕症接受腹腔镜检查的患者。在86例经腹腔镜诊断为子宫内膜异位症的患者（I组）中，从明显的子宫内膜异位区域（n = 86）和视觉上正常的腹膜（n = 52）取材进行活检。组织学检查显示，93%的阳性部位和13%的阴性部位存在子宫内膜异位症。在32例腹腔镜检查未发现子宫内膜异位症的患者（II组）中，从正常子宫骶韧带（n = 32）取材进行活检。6%的病例观察到子宫内膜异位症。尽管检测色素沉着和非色素沉着子宫内膜异位病变的能力有所提高，但组织学研究显示，13%（I组）和6%（II组）的病例在正常腹膜中存在子宫内膜异位症。
