Günzel-Apel A R, Wilke M, Aupperle H, Schoon H A
Institute for Reproductive Medicine, School of Veterinary Medicine, Bünteweg 15, D-30559 Hannover, Germany.
J Reprod Fertil Suppl. 2001;57:61-5.
Transcervical collection of endometrial tissue specimens is a valuable and well established tool for the diagnosis of reproductive disorders in cows, mares and women, but it is not used currently in bitches. Endometrial biopsy samples were collected by transcervical cannulation from the cranial uterine body at defined stages of the oestrous cycle using biopsy forceps. In study 1, the histology of 45 biopsy specimens taken from 23 Beagle bitches were compared with larger tissue samples collected post mortem. For further evaluation of representative biopsy specimens, the expression of oestrogen and progesterone receptors was determined. Only 31.1% of the biopsy samples taken from bitches could be evaluated and they showed stroma, capillaries, luminal epithelium, glandular ducts and apical glands; however, basal glands and myometrium were not observed. Biopsy findings were in agreement with the diagnosis of the uterine specimens concerning endometrial differentiation, inflammatory and degenerative lesions. The expression of oestrogen and progesterone receptors was slightly lower in the biopsy samples. In study 2, a total of 49 serial biopsy samples were taken from 12 Beagle bitches. In eight bitches, the manipulation resulted in a haemomucometra. Treatment with PGF2 alpha and antibiotics led to a clinical cure in five of these dogs, two of which were mated successfully during the next oestrus. Three animals had to undergo ovariohysterectomy. Owing to the small proportion of biopsy specimens that was suitable for analysis and the high risk of biopsy-related endometritis, transcervical biopsy collection cannot be recommended as a routine technique in bitches.
经宫颈采集子宫内膜组织样本是诊断母牛、母马和女性生殖系统疾病的一种有价值且成熟的工具,但目前未用于母犬。在发情周期的特定阶段,使用活检钳经宫颈插管从子宫体头部采集子宫内膜活检样本。在研究1中,将从23只比格犬身上采集的45份活检标本的组织学与死后采集的较大组织样本进行了比较。为了进一步评估具有代表性的活检标本,测定了雌激素和孕激素受体的表达。从母犬身上采集的活检样本中,只有31.1%能够进行评估,这些样本显示有基质、毛细血管、腔上皮、腺管和顶端腺体;然而,未观察到基底腺体和子宫肌层。活检结果与子宫标本在子宫内膜分化、炎症和退行性病变方面的诊断一致。活检样本中雌激素和孕激素受体的表达略低。在研究2中,从12只比格犬身上共采集了49份连续活检样本。在8只母犬中,操作导致了血性子宫积脓。用前列腺素F2α和抗生素治疗使其中5只犬临床治愈,其中2只在下一个发情期成功交配。3只动物不得不接受卵巢子宫切除术。由于适合分析的活检标本比例小以及活检相关子宫内膜炎的高风险,不建议将经宫颈活检采集作为母犬的常规技术。