Ranta H, Aine R, Oksanen H, Heinonen P K
Tampere University Central Hospital, Finland.
Fertil Steril. 1990 Apr;53(4):751-3. doi: 10.1016/s0015-0282(16)53479-7.
The presence of endometrial cells in PF before and after diagnostic CO2 hysteroscopy and after liquid chromotubation was studied with 51 infertile patients. Cytological samples of PF or washings did not reveal endometrial cells in any case before hysteroscopy. Endometrial cells were found in PF in 16% after CO2 hysteroscopy and in 65% of cases after chromotubation. All (100%) patients with and 49% of those without endometriosis had endometrial cells in PF after liquid chromotubation. We conclude that endometrial cells are disseminated into the peritoneal cavity in a minor degree during CO2 hysteroscopy, whereas more remarkable dissemination of endometrial cells occurs during liquid chromotubation.
对51例不孕患者研究了诊断性二氧化碳宫腔镜检查前后及输卵管通液术后腹腔液（PF）中子宫内膜细胞的存在情况。宫腔镜检查前，PF的细胞学样本或冲洗液在任何情况下均未发现子宫内膜细胞。二氧化碳宫腔镜检查后，16%的PF中发现了子宫内膜细胞，输卵管通液术后65%的病例中发现了子宫内膜细胞。所有（100%）患有子宫内膜异位症的患者以及49%未患子宫内膜异位症的患者在输卵管通液术后PF中都有子宫内膜细胞。我们得出结论，在二氧化碳宫腔镜检查期间，子宫内膜细胞少量播散至腹腔，而在输卵管通液术期间，子宫内膜细胞的播散更为显著。
