Donnez J, Nisolle M, Gillerot S, Smets M, Bassil S, Casanas-Roux F
Cliniques Universitaires St-Luc, University of Louvain, Brussels, Belgium.
Br J Obstet Gynaecol. 1997 Sep;104(9):1014-8. doi: 10.1111/j.1471-0528.1997.tb12059.x.
Laparoscopic procedure with excision of deep fibrotic endometriotic nodules of the rectovaginal septum and histological study of the lesions.
An academic teaching hospital.
A series of 500 women undergoing laparoscopy for pelvic pain or infertility.
Laparoscopic (n = 497) and laparotomic (n = 3) excision of endometriotic nodules resulted in considerable pain relief. Histologically the rectovaginal nodule was similar to an adenomyoma as it was a circumscribed nodular aggregate of smooth muscle and endometrial glands and stroma. The variations in oestrogen receptor and progesterone receptor content suggested a regulatory mechanism different from that of eutopic endometrium.
This form of disease should be considered as an entity distinct from peritoneal and ovarian endometriosis, and originating from the Müllerian rests present in the rectovaginal septum.
行腹腔镜手术切除直肠阴道隔深部纤维化子宫内膜异位结节，并对病变进行组织学研究。
一家学术教学医院。
500例因盆腔疼痛或不孕接受腹腔镜检查的女性。
腹腔镜（n = 497）和开腹（n = 3）切除子宫内膜异位结节后疼痛明显缓解。组织学上，直肠阴道结节类似于子宫腺肌瘤，因为它是平滑肌、子宫内膜腺体和间质的局限性结节状聚集。雌激素受体和孕激素受体含量的变化提示其调控机制不同于在位子宫内膜。
这种疾病形式应被视为一种与腹膜和卵巢子宫内膜异位症不同的实体，起源于直肠阴道隔中存在的苗勒管残余。
