CAJ | 학술논문

子宫腺肌病（adenomyosis，AM）是妇科常见病，近年来其发病率呈上升趋势。有关AM与不孕相关机制的研究也成为近年的研究热点。虽然没有充分的流行病学数据表明AM与不孕有确切关系，但是随着AM影像水平及治疗水平的提高，间接证明AM与生殖能力低下有关。目前尚无具体诠释引起AM不孕的机制，结合AM发生的病理解剖学基础、病理生理学改变、子宫内膜容受性异常以及内分泌免疫学异常等方面的相关研究进展探讨AM与不孕的关系。
자궁선기병（adenomyosis，AM）시부과상견병，근년래기발병솔정상승추세。유관AM여불잉상관궤제적연구야성위근년적연구열점。수연몰유충분적류행병학수거표명AM여불잉유학절관계，단시수착AM영상수평급치료수평적제고，간접증명AM여생식능력저하유관。목전상무구체전석인기AM불잉적궤제，결합AM발생적병리해부학기출、병리생이학개변、자궁내막용수성이상이급내분비면역학이상등방면적상관연구진전탐토AM여불잉적관계。
Adenomyosis (AM) is a common gynecological disease, in recent years, the incidence is rising. Studies on adenomyosis and infertility-related mechanisms has become a hot topic. Although there is no sufficient epidemiological data to prove that there is a genuine relationship between AM and infertility. However, with improved image and therapeutic levels in AM , indirect evidence shows AM with low fertility. There is no specific mechanism for the interpretation of adenomyosis cause of infertility, this article will combine basic pathological anatomy pathophysiology, and endometrial receptivity abnormalities, endocrine abnormalities and other aspects related to adenomyosis′s research progress, to discuss the relationship between AM and infertility factors.