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本文研究了1982～1988年因不孕和/或疼痛经腹腔镜检的病人中作出诊断的子宫内膜异位症。腹腔镜检时,常通过观察到皱起的黑色的或带蓝色的“典型”病变而作出子宫内膜异位症的诊断。虽然这些病变最容易看到,并被活检所证实,但也还有许多其它“不典型”子宫内膜异位症。这些不典型病变更常见,并可能更有活性而比皱起的黑色病变更重要。子宫内膜异位症可伴有以前激光手术所致的碳化,而且在看似不像子宫内膜异位症的病变里也发现了子宫内膜异位。所以从1986年以来,对所有病人看似异常的任何组织都做了切除或活检。
This article studies the diagnosis of endometriosis in patients who underwent laparoscopy for infertility and / or pain from 1982 to 1988. At laparoscopy, the diagnosis of endometriosis is often made by observing a wrinkled black or bluish “typical” lesion. Although these lesions are most easily seen and confirmed by biopsy, there are many other “atypical” endometriosis. These atypical lesions are more common and may be more active than crumpled black lesions. Endometriosis can be accompanied by carbonation caused by previous laser surgery, and endometriosis is also found in lesions that appear to be unlike endometriosis. So since 1986, any tissue that appears to be abnormal in all patients has been resected or biopsied.