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子宫内膜异位症与子宫内膜息肉发病机制的相关性研究进展

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子宫内膜异位症(endometriosis,EMT)和子宫内膜息肉(endometrial polyp,EP)是两类常见的良性妇科疾病,以子宫内膜组织的异常种植或增生为主要病理特征.流行病学数据显示,EMT患者的EP发生率攀升,EP患者合并EMT的风险也增加,提示二者可能存在密切关系与潜在的关联机制.尽管EMT和EP的发病机制尚未完全明确,但近年研究表明,EMT和EP的发生可能与长期高水平雌激素刺激、雌激素受体与孕激素受体表达失衡、细胞凋亡与增殖异常、细胞因子的表达、局部慢性炎症刺激、免疫系统失调、氧化应激、微生物群紊乱、代谢异常等因素有关.两者共有多种危险因素,可能参与彼此的疾病进程,从而在临床治疗上显示出消极的相互作用.本文通过对EMT和EP发病机制的相关性进行综述,为二者的基础研究和临床治疗提供更多理论依据.
Research progress of the correlation pathogenesis between endometriosis and endometrial polyp
Endometriosis(EMT)and endometrial polyp(EP)are two common benign gynecological diseases,with the primary pathological symptom of abnormal implantation or hyperplasia of endothelial tissue.Epidemiological data show that the incidence of EP in patients with EMT is gradually increasing,and the risk of patients with EP in combination with EMT is also increasing year by year,indicating a close correlation and intrinsic link between them.Although the pathogenesis of both has not been fully determined,recent studies have shown that the pathogenesis of EMT and EP may be related to long-term high levels of estrogen stimulation,an imbalance between estrogen receptors and progesterone receptors,abnormal apoptosis and proliferation,expression of cytokines,local chronic inflammatory stimulation,dysregulation of the immune system,oxidative stress,microbiota disorders and metabolic abnormalities.They share a set of risk factors,probably participating in each other's disease process,thus showing a negative influence on clinical treatment.We review the correlation pathogenesis of EMT and EP,which are expected to provide more rationale for the basic research and clinical treatment.

endometriosisendometrial polyppathogenesisrelationship

顾晨曦、任青玲

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南京中医药大学第一临床医学院,南京 210029

南京中医药大学附属医院,南京 210029

子宫内膜异位症 子宫内膜息肉 发病机制 相关性

江苏省中医妇产生殖临床医学创新中心项目

ZX202102

2023

生命的化学
中国生物化学与分子生物学会

生命的化学

CSTPCD
影响因子:0.404
ISSN:1000-1336
年,卷(期):2023.43(4)
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