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[实验性输卵管成形术对家兔生育能力的影响]

[Effects of experimental salpingoplasty on fertility in the rabbit].

作者信息

Ebihara T, Kawakami S, Yoshimura Y, Ichikawa F, Tada S, Sakui H, Fukushima M

机构信息

Department of Obstetrics and Gynecology, Fujita-Gakuen Health University School of Medicine, Aichi.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1988 Jul;40(7):847-54.

PMID:3418191
Abstract

The present study was undertaken to determine the functional capacity of oviduct following distal ampullar salpingostomy and tubal anastomosis. In the first experiment using 6 rabbits, the left fimbria of an oviduct and adjoining ampulla were resected, and then the remaining distal ampulla was subjected to cuff salpingostomy. The contralateral oviduct of each rabbit served as a control. Ovulation was induced at 3 weeks after surgery. The mean number of corpora lutea per ovary in the salpingostomy oviduct (5.00 +/- 0.37) did not differ significantly from that observed in the control oviduct (5.17 +/- 0.31). Five of 6 salpingostomy oviducts contained ovulated ova. However, the retrieval rate was significantly (p less than 0.01) reduced in the salpingostomy oviducts (36.7%), as compared to that found in the control oviducts (93.5%). Scanning electron microscopy of the fimbria revealed morphological features of both ciliated and secretory cells that were comparable to those of the contralateral intact fimbria. The second experiment assessed pregnancy outcome following tubal anastomosis in 6 rabbits. Pregnancy was established in both oviducts of all rabbits. The rate of implantation did not differ significantly between anastomosis sides (75.0 +/- 8.9%) and contralateral controls (93.9 +/- 3.9%). The present data demonstrated that fimbriectomized rabbit oviduct can retrieve ovulated ova, albeit less efficiently than normally. However, information that the retrieval rate of ova after salpingostomy is lower than that found in anastomosis also suggests a significant role of fimbria in ovum retrieval.

摘要

本研究旨在确定壶腹部远端输卵管造口术和输卵管吻合术后输卵管的功能能力。在第一个实验中,使用6只兔子,切除一侧输卵管的左伞端和相邻的壶腹部,然后对剩余的远端壶腹部进行袖套式输卵管造口术。每只兔子的对侧输卵管作为对照。术后3周诱导排卵。输卵管造口术侧卵巢黄体的平均数量(5.00±0.37)与对照侧输卵管(5.17±0.31)相比无显著差异。6只接受输卵管造口术的兔子中有5只输卵管内有排卵的卵子。然而,与对照侧输卵管(93.5%)相比,输卵管造口术侧的卵子回收效率显著降低(P<0.01)(36.7%)。对伞端进行扫描电子显微镜检查发现,纤毛细胞和分泌细胞的形态特征与对侧完整伞端的相似。第二个实验评估了6只兔子输卵管吻合术后的妊娠结局。所有兔子的双侧输卵管均成功受孕。吻合侧(75.0±8.9%)和对侧对照侧(93.9±3.9%)的着床率无显著差异。目前的数据表明,切除伞端的兔子输卵管能够回收排卵的卵子,尽管效率低于正常情况。然而,输卵管造口术后卵子回收效率低于吻合术的结果也表明伞端在卵子回收中具有重要作用。

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