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子宫腺肌症是育龄妇女的常见妇科疾病,主要的病理特征为子宫肌层内存在子宫内膜腺体与间质细胞浸润性生长。临床主要表现为月经过多与逐渐加重的进行性痛经。子宫腺肌症痛经机制十分复杂,缩宫素及其受体、炎性因子、前列腺素等可通过激发子宫平滑肌细胞痉挛收缩引起痛经;而盆腔内脏器官痛觉传导则涉及腹下交感神经纤维(第10胸椎~第1腰椎)及副交感神经纤维(第2骶椎~第4骶椎)。“,”Adenomyosis is a common gynecologic disorder in women in their reproductive years,which is characterized by the growth of endometrial glands and stroma into the myometrium .The main clinical manifes-tations of adenomyosis are menorrhagia and progressive dysmenorrhea.The pathogenesis of dysmenorrhea in adenomyosis is extremely complicated,oxytocin and oxytocin receptor,inflammatory factors and prostaglandin F2α( PGF2α) may be responsible for increased uterine contractility and adenomyosis associated dysmenorrhea;the pelvic viscera( internal organs) receive nerve impulses from both sympathetic ( T10-L1 ) and parasympa-thetic ( S2-4 ) nervous systems.