Bryman I, Norström A, Dahlström A, Lindblom B
Department of Obstetrics and Gynecology, University of Göteborg, Sweden.
Gynecol Obstet Invest. 1987;24(2):73-9. doi: 10.1159/000298782.
Morphological evidence for a denervation of the human myometrium during pregnancy has previously been demonstrated. In the present study the innervation of the human cervix has been investigated in nonpregnant, early pregnant and term pregnant women. An indirect immunofluorescence method, using an antiserum to the Schwann cell specific S-100 protein, was applied to document the distribution of nerve fibers in cervical tissue biopsies. In nonpregnant, as well as in pregnant women, the cervix was by far more densely innervated than the rest of the uterus. No obvious difference in nerve density was observed between nonpregnant, early pregnant and term pregnant women, and still during labor the innervation appeared morphologically preserved. It is suggested that the segmental difference in innervation of the human uterus (corpus versus cervix) may have specific importance for myometrial and cervical contractility during pregnancy and parturition.
此前已有研究证明孕期人类子宫肌层存在去神经支配的形态学证据。在本研究中,对非孕期、孕早期和足月孕妇的子宫颈神经支配情况进行了调查。采用间接免疫荧光法,使用抗施万细胞特异性S - 100蛋白的抗血清,来记录宫颈组织活检中神经纤维的分布情况。在非孕期和孕期女性中,子宫颈的神经支配密度远远高于子宫的其他部分。未观察到非孕期、孕早期和足月孕妇之间神经密度有明显差异,且在分娩过程中神经支配在形态上似乎仍得以保留。有人提出,人类子宫(子宫体与子宫颈)神经支配的节段性差异可能对孕期和分娩期间子宫肌层及子宫颈的收缩性具有特殊重要意义。