子宫内膜异位症的病因一直有争论,为什么与不孕症有关也无满意的解释。最近发现盆腔子宫内膜异位症妇女的排卵小斑(s-tigmata)明显减少。虽形成黄体,但未从囊状卵泡释放卵母细胞。不孕症患者的黄体化滤泡有未破裂的现象。作者研究患或未患子宫内膜异位症病人的腹水。对原发或继发不孕的妇女,在腹腔镜检查时仔细观察卵巢是否有排卵小斑,同时收集腹水,离心后作巴氏染色涂片,检查有无内膜细胞。其上清液用作测定黄体酮、17β-雌二醇、总蛋白、类固醇激素结合球蛋白和皮质甾酮。结果在有和无盆腔子宫内膜异位症妇女的腹水中,活子宫内膜细胞的数量一样。总蛋白、类固醇激素结合球蛋白和皮质甾酮的浓度亦相同。有排卵周期的妇 The cause of endometriosis has been controversial, and why there is no explanation of infertility and no satisfaction. Recently, women with pelvic endometriosis have significantly reduced their s-tigmata. Although the formation of corpus luteum, but did not release oocysts from follicles. Luteal follicles in patients with infertility have not broken the phenomenon. The authors studied ascites in patients with or without endometriosis. On the primary or secondary infertility women, laparoscopic ovariectomy observed carefully observe the presence of small plaques, while collecting ascites, after centrifugation for Pap smear, check whether the endometrial cells. The supernatant was used to determine progesterone, 17β-estradiol, total protein, steroid hormone-binding globulin and corticosterone. Results The number of viable endometrial cells was the same in ascites of women with and without pelvic endometriosis. Total protein, steroid hormone binding globulin and corticosterone concentrations are the same. Women who have ovulation cycles