Thompson J R, Davion R J
J Natl Med Assoc. 1986 Apr;78(4):305-7.
Adenomyosis has been an entity of some interest for many years, but little is known today of its pathogenesis. There is almost universal agreement that it is associated with an accentuation of the myometrial muscle pattern, multiparity, and endometrial hyperplasia. Some authors suggest that the myometrium is vulnerable to invasion by endometrial hyperplasia. Others postulate that the myometrium is vulnerable to invasion by endometrial glands because of the absence of a basement membrane. Women in the fourth and fifth decades of life are most commonly afflicted. Preoperative diagnosis is not common.
多年来，子宫腺肌病一直是一个备受关注的疾病实体，但目前对其发病机制知之甚少。几乎普遍认为，它与子宫肌层肌肉结构的加重、多产和子宫内膜增生有关。一些作者认为，子宫肌层易受子宫内膜增生的侵袭。另一些人则假设，由于缺乏基底膜，子宫肌层易受子宫内膜腺体的侵袭。最常受影响的是四五十岁的女性。术前诊断并不常见。
