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输卵管再吻合术后人体输卵管的显微镜下表现。

Microscopic appearance of the human fallopian tube following a reanastomosis procedure.

作者信息

Kosasa T S, Mulligan W J, Ehrmann R L, Brooks D C

出版信息

Fertil Steril. 1976 Dec;27(12):1422-4. doi: 10.1016/s0015-0282(16)42258-2.

Abstract

Microscopic evaluation of a human fallopian tube following end-to-end anastomosis over a polyethylene stent was performed 10 days after the initial surgical procedure. The stent was removed on the 3rd postoperative day. Examination of the excised tube revealed a patent lumen without any evidence of mucosal compromise. The submucosa adjacent to the anastomotic site revealed a mild polymorphonuclear leukocytic infiltration, although a marked inflammatory response was observed around the 5-0 chromic sutures used in the reanastomosis. This case and recent animal studies suggest that early removal of the stent does not appear to jeopardize the patency of the tube and may be preferable to removal after 3 to 4 months.

摘要

在初次手术操作10天后,对经聚乙烯支架端端吻合后的人体输卵管进行了显微镜评估。支架在术后第3天取出。对切除的输卵管检查显示管腔通畅,没有任何黏膜受损的迹象。尽管在再吻合术中使用的5-0铬制缝线周围观察到明显的炎症反应,但吻合部位附近的黏膜下层有轻度多形核白细胞浸润。该病例及近期的动物研究表明,早期取出支架似乎不会危及输卵管的通畅,可能比3至4个月后取出更可取。

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