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子宫内膜异位症:炎症机制与生育影响的全面探究

Endometriosis: A Comprehensive Exploration of Inflammatory Mechanisms and Fertility Implications.

作者信息

Rathod Sachin, Shanoo Amardeep, Acharya Neema

机构信息

Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 4;16(8):e66128. doi: 10.7759/cureus.66128. eCollection 2024 Aug.

Abstract

Endometriosis is a prevalent gynecological disorder characterized by the ectopic growth of endometrial-like tissue outside the uterus. This condition poses significant challenges due to its chronic nature, debilitating symptoms such as pelvic pain and infertility, and substantial impact on quality of life. Central to the pathogenesis of endometriosis are inflammatory mechanisms that perpetuate tissue proliferation, adhesion formation, and immune dysregulation within the pelvic cavity. Inflammation plays a pivotal role in the development and progression of endometriosis, influencing the severity of symptoms and complications associated with the disease. Dysregulated immune responses contribute to the persistence of ectopic endometrial implants, exacerbating pelvic pain and other symptoms experienced by affected individuals. Moreover, the inflammatory milieu created by endometriotic lesions disrupts normal ovarian function, impairs follicular development, and compromises reproductive outcomes, thereby posing challenges to fertility. This review comprehensively explores the inflammatory mechanisms underlying endometriosis and their implications for fertility. Synthesizing current research and clinical insights elucidates the intricate interplay between inflammation, disease progression, and reproductive health outcomes. Understanding these complex interactions is essential for developing targeted diagnostic strategies and optimizing therapeutic approaches tailored to alleviate symptoms and improve fertility outcomes in individuals with endometriosis. Ultimately, this review aims to enhance the understanding of endometriosis pathophysiology, inform clinical practice, and stimulate further research to advance personalized care and management strategies for this challenging condition.

摘要

子宫内膜异位症是一种常见的妇科疾病,其特征是子宫外出现类似子宫内膜的组织异位生长。由于其慢性性质、诸如盆腔疼痛和不孕等使人衰弱的症状以及对生活质量的重大影响,这种病症带来了重大挑战。子宫内膜异位症发病机制的核心是炎症机制,这些机制使盆腔内的组织增殖、粘连形成和免疫失调持续存在。炎症在子宫内膜异位症的发生和发展中起关键作用,影响与该疾病相关的症状和并发症的严重程度。免疫反应失调导致异位子宫内膜植入物持续存在,加剧了受影响个体所经历的盆腔疼痛和其他症状。此外,子宫内膜异位症病变所产生的炎症环境扰乱了正常的卵巢功能,损害卵泡发育,并影响生殖结局,从而对生育能力构成挑战。本综述全面探讨了子宫内膜异位症潜在的炎症机制及其对生育能力的影响。综合当前的研究和临床见解,阐明了炎症、疾病进展和生殖健康结局之间复杂的相互作用。了解这些复杂的相互作用对于制定有针对性的诊断策略以及优化治疗方法至关重要,这些治疗方法旨在缓解症状并改善子宫内膜异位症患者的生育结局。最终,本综述旨在增进对子宫内膜异位症病理生理学的理解,为临床实践提供信息,并激发进一步的研究,以推进针对这种具有挑战性病症的个性化护理和管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7fc/11370979/51219c805c56/cureus-0016-00000066128-i01.jpg

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