潘琦文 李建湘

    [摘要]子宫内膜异位症(EMs)主要的病理改变为子宫外不断生长的子宫内膜异位组织。EMs通过影响卵泡的发育、降低卵子質量、破坏卵巢结构、影响卵巢微环境导致卵巢功能受损，进而引起生育障碍。EMs通常从出现症状到确诊大约有42个月的延迟，尚未发现特异性的诊断标志物和无创的诊断方法。不同类型EMs发病机制不同，不同的治疗方式对卵巢功能的损伤不同。因此，选择适当的治疗方式，降低对卵巢功能的损伤显得尤为重要。本文主要就EMs对卵巢功能的影响进行综述。

    [关键词]子宫内膜异位症;卵巢功能;卵巢储备;卵巢功能早衰

    [中图分类号]R711.71? [文献标识码]A? [文章编号]2095-0616(2022)05-0068-04

    Research progress on the effect of endometriosis on ovarian function

    PAN Qiwen? LI Jianxiang

    Department of Gynecology，Affiliated Hechi Hospital of Youjiang Medical University for Nationalities，Guangxi，Hechi 547000，China

    [Abstract] The main pathological change of endometriosis (EMs)is the growing endometriotic tissues outside the uterus. EMs can damage ovarian function by affecting the development of ovarian follicles，reducing the quality of eggs，destroying the ovarian structure and influencing the ovarian microenvironment，and then further cause fertility disorders. There is usually a delay of about 42 months from EMs symptom onset to diagnosis. No specific diagnostic markers and noninvasive diagnostic methods have been found. Different types of EMs have varied pathogenesis and different treatment methods demonstrate varied damage to ovarian function. Therefore ......