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不孕与外在型子宫内膜异位症(以下简称外在型异位症)的因果关系尚有争论。目前不孕症的原因以输卵管阻塞、输卵管周围粘连和排卵功能障碍为主,但许多原因不明的原发性或继发性不孕症妇女约有30～50％患有外在型异位症。近年来妇产科临床医师密切关注和探索这一课题。本文就外在型异位症与不孕的关系以及导致不孕的外在型异位症的诊治作一介绍。因果关系外在型异位症的组织起源争论已久。Sampson(1921)认为内膜种植学说虽已为大多数人所接受,但仍不能解释大多数患者的发病,且对其引起不孕症的机理亦有很大争论。目前多数学者认为外在型异位症造成不孕原因大致有:1.腹腔子宫内膜异位病灶使精卵遭到机械性干扰,外在型异位症影响了输卵管的蠕动、伞部的拾卵作用等。重症患者盆腔粘连更明显,并有病
The causal relationship between infertility and extrinsic endometriosis (hereinafter referred to as extrinsic etiology) is still controversial. At present, the causes of infertility are tubal obstruction, adhesions around the fallopian tubes and ovulation dysfunction. However, about 30-50% of the primary and secondary infertile women with unknown causes have extrinsic etiology . In recent years, obstetrics and gynecology clinicians pay close attention to and explore this issue. This article describes the relationship between extrinsic extrinsic disease and infertility and the diagnosis and treatment of extrinsic etiology that lead to infertility. Causation The origin of the organization of extrinsic etiology has long been debated. Sampson (1921) that although the majority of endometrial implantation doctrine accepted, but still can not explain the incidence of most patients, and its cause of infertility mechanism also controversial. At present, most scholars believe that the causes of exogenous etiology caused by infertility are generally: 1. Abdominal endometriosis lesions so that the sperm were mechanical interference, extrinsic ectopic tubal affect the motility of the umbrella Pick up the role of eggs. Severe pelvic adhesions in patients with more obvious, and sick