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[人类子宫输卵管引流角及子宫输卵管壁内部的形态学]

[Morphology of the tubal drainage angle of the human uterus and of the pars intramuralis of the tuba uterina].

作者信息

Philipp E, Niemann U

出版信息

Zentralbl Gynakol. 1979;101(2):79-91.

PMID:433496
Abstract

The morphology of the pars intramuralis of the fallopian tube has been histological examined in 500 uteri which were exstirpated in the Department of Gynaecology and Obstetrics of the University of Kiel in the years of 1972 to 1973. It was found that the interstitial pars of the endometrium changes regularly during the menstrual cycle. In the same way the endometrium in the interstitial part of the tubal canal suffers from an atrophy if patients were treated with gestagens. The adenomatous hyperplasie or the polypes of the endometrium which are often found near the utero-tubal junction are to be considered as the matrix of the carcinoma of the endometrium; continuous changes between the adenomatous hyperplasie and the carcinoma of the endometrium can be observed. The frequency of precancers near the utero-tubal junction underlines the demand for an accurate curettage in this region of the cavum uteri. The histological examination of the region of the utero-tubal junction after the extirpation of the uterus is absolutely necessary and has to be generally to be asked for.

摘要

1972年至1973年间,在基尔大学妇产科切除的500例子宫中,对输卵管壁内段的形态进行了组织学检查。发现子宫内膜的间质部分在月经周期中会有规律地变化。同样,如果患者接受孕激素治疗,输卵管管腔间质部分的子宫内膜会出现萎缩。子宫输卵管交界处附近常见的子宫内膜腺瘤样增生或息肉应被视为子宫内膜癌的基质;可以观察到子宫内膜腺瘤样增生和子宫内膜癌之间的持续变化。子宫输卵管交界处附近癌前病变的发生率强调了在子宫腔该区域进行准确刮宫的必要性。子宫切除术后对子宫输卵管交界处区域进行组织学检查是绝对必要的,并且通常必须要求进行。

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