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不孕症患者子宫内膜的组织病理学研究

Histopathological study of endometrium in infertility.

作者信息

Zawar M P, Deshpande N M, Gadgil P A, Mahanta A A

机构信息

Department of Pathology, Dr. V.M. Medical College, Solapur, Maharashtra.

出版信息

Indian J Pathol Microbiol. 2003 Oct;46(4):630-3.

Abstract

A study of 200 cases of primary and secondary infertility was carried out in the department of pathology, Dr. V.M. Medical College, Solapur. Endometrial specimens were evaluated in the light of menstrual history to find out the incidence of various endometrial changes in cases of infertility. All cases underwent endometrial biopsy premenstrually. Haematoxylin and eosin staining was done for dating of endometrium and diagnosis of corpus luteal defect and anovalutory cycles. PAS stain was done in 50 cases of infertility with control of 25 cases to detect the amount of glycogen. Menstrual problems were seen in 38.2% of patients. Anovulatory infertility was present in 28.2% cases. Luteal phase defect was seen in 20% cases. Cystoglandular hyperplasia was seen in 1.7% cases & tuberculous endometritis was present in 2.6% cases. Glycogen deficiency was seen in 30% cases of luteal phase defect.

摘要

在索拉布尔市V.M.医学院病理学系对200例原发性和继发性不孕症患者进行了一项研究。根据月经史对子宫内膜标本进行评估,以找出不孕症患者各种子宫内膜变化的发生率。所有病例在月经前均接受了子宫内膜活检。采用苏木精和伊红染色法对子宫内膜进行分期,并诊断黄体缺陷和无排卵周期。对50例不孕症患者进行了PAS染色,并以25例作为对照,以检测糖原含量。38.2%的患者存在月经问题。28.2%的病例为无排卵性不孕。20%的病例出现黄体期缺陷。1.7%的病例出现囊腺性增生,2.6%的病例存在结核性子宫内膜炎。在30%的黄体期缺陷病例中可见糖原缺乏。

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