Zheleznov B I, Brumshteĭn L M
Akush Ginekol (Mosk). 1990 Feb(2):21-4.
Morphologic, histochemical and fluorescent microscopic studies of leiomyomas with necrosis and degenerative changes have been done in 100 patients. Morphologic and functional features of the endometrium and myometrium were examined at tumor-adjacent and remote sites. The study showed no relation between the ischemic changes of uterine leiomyomas and morphological/functional status of the myometrium and endometrium. In the presence of leiomyoma, the endometrium undergoes primarily histophysiological and aging-related changes. The study findings suggest that surgery for necrotic leiomyoma should be organ-sparing.
对100例患有坏死和退行性变的平滑肌瘤患者进行了形态学、组织化学和荧光显微镜研究。在肿瘤相邻和远处部位检查了子宫内膜和肌层的形态和功能特征。研究表明，子宫平滑肌瘤的缺血性改变与肌层和子宫内膜的形态/功能状态之间没有关联。在存在平滑肌瘤的情况下，子宫内膜主要经历组织生理和与衰老相关的变化。研究结果表明，对于坏死性平滑肌瘤的手术应保留器官。
