Vesel I
Zentralbl Allg Pathol. 1975;119(1-2):60-4.
The clinical significance of decidual changes and inflammation in Fallopian tubes of women undergoing sterilization shortly after the delivery was assessed microscopically in 133 resected specimens. Thirteen excision specimens obtained from non pregnant patients served as controls. Foci of ectopic decidua in the mucosa were found in 14.3% of cases in the first group, whereas none was noted in the control group. An inflammatory reaction consisting of edema, hyperemia, and lymphocytic, histiocytic and occasional granulocytic infiltration was noted in 67.6% of patients ligated after delivery. No significant inflammatory reaction was demonstrated in specimens of the control group. In the post partum group the clinical findings and the gross examination of the tubes at the time of operation did not suggest any inflammatory changes. The microscopic changes observed therefore do not warrant the diagnosis of a salpingitis and are to be considered as a physiological response during pregnancy.
对133例绝育术后不久切除的输卵管标本进行显微镜检查，评估产后短期内绝育女性输卵管蜕膜变化和炎症的临床意义。从非妊娠患者获取的13份切除标本作为对照。第一组中14.3%的病例在黏膜中发现异位蜕膜灶，而对照组未发现。67.6%的产后结扎患者出现由水肿、充血以及淋巴细胞、组织细胞和偶尔的粒细胞浸润组成的炎症反应。对照组标本未显示明显炎症反应。在产后组中，手术时的临床发现和输卵管大体检查未提示任何炎症变化。因此，观察到的微观变化不支持输卵管炎的诊断，应被视为妊娠期间的一种生理反应。
