Ollendorff D A, Fejgin M D, Barzilai M, Ben-Noon I, Gerbie A B
Am J Obstet Gynecol. 1987 Jul;157(1):71-2. doi: 10.1016/s0002-9378(87)80348-4.
The charts of all patients hospitalized between 1978 and 1983 with proved ectopic pregnancies at Northwestern Memorial Hospital, Chicago, and Meir Hospital, Kfar-Sava, Israel, were reviewed. Eighty-four patients with ectopic pregnancies had endometrial tissue available for histologic analyses. Review of the endometrial curettings revealed that the most common endometrium associated with ectopic pregnancy was secretory (39.4%). Proliferative endometrium present 19% of the time was as common a finding as Arias-Stella phenomenon. This study shows that any type of endometrium lacking trophoblasts may be associated with an ectopic pregnancy. The lack of decidual reaction or Arias-Stella phenomenon should not alone lower the clinician's index of suspicion.
回顾了1978年至1983年间在芝加哥西北纪念医院和以色列卡法萨瓦市梅尔医院住院的所有经证实为异位妊娠患者的病历。84例异位妊娠患者有可供组织学分析的子宫内膜组织。对子宫内膜刮出物的检查显示，与异位妊娠相关的最常见子宫内膜类型为分泌期（39.4%）。增殖期子宫内膜出现的时间占19%，与阿里亚斯-斯泰拉现象一样常见。这项研究表明，任何缺乏滋养层细胞的子宫内膜类型都可能与异位妊娠有关。蜕膜反应或阿里亚斯-斯泰拉现象的缺乏不应单独降低临床医生的怀疑指数。
