Vasquez G, Cornillie F, Brosens I A
Fertil Steril. 1984 Nov;42(5):696-703. doi: 10.1016/s0015-0282(16)48193-8.
In 36 patients with laparoscopically diagnosed endometriosis, biopsies were taken from different areas of the pelvic peritoneum bearing foci of endometriosis. The biopsies were studied by scanning electron microscopy and by light microscopy. Combined use of these techniques resulted in the differentiation of three topographically and morphologically different types of endometriotic lesions: intraperitoneal endometriotic polyps with no glandular openings but associated with deeper endometriotic glands and stroma; intraperitoneal endometriotic foci with surface epithelium, glands, and stroma; and retroperitoneal small lesions with few glands and scant stroma. The morphologic features of endometriotic foci indicate that they do not follow the typical cyclic changes described for the uterine endometrium. Our microanatomic characterization of endometriosis is discussed in relation to the conflicting data concerning peritoneal fluid constituents and infertility in patients with minimal endometriotic lesions.
在36例经腹腔镜诊断为子宫内膜异位症的患者中，从盆腔腹膜上带有子宫内膜异位病灶的不同区域取活检组织。对活检组织进行了扫描电子显微镜和光学显微镜研究。联合使用这些技术可区分出三种在地形学和形态学上不同类型的子宫内膜异位病变：无腺管开口但与深部子宫内膜腺体和间质相关的腹腔内子宫内膜息肉；具有表面上皮、腺体和间质的腹腔内子宫内膜病灶；以及腺体少、间质少的腹膜后小病灶。子宫内膜异位病灶的形态学特征表明，它们并不遵循子宫子宫内膜所描述的典型周期性变化。我们对子宫内膜异位症的微观解剖学特征进行了讨论，涉及到关于微小子宫内膜异位病变患者腹膜液成分和不孕的相互矛盾的数据。
