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输卵管伞切除术后兔输卵管的功能与结构。I. 远端壶腹部输卵管造口术。

Function and structure of the rabbit oviduct following fimbriectomy. I. Distal ampullary salpingostomy.

作者信息

Halbert S A, McComb P F, Patton D L

出版信息

Fertil Steril. 1981 Mar;35(3):349-54. doi: 10.1016/s0015-0282(16)45385-9.

Abstract

The fimbria has long been considered an indispensable portion of the fallopian tube. To test this hypothesis, the fimbria and up to one-half of the adjoining ampulla of the left oviduct were resected by microsurgery in 13 New Zealand White does. The remaining distal ampulla was subjected to a cuff salpingostomy. Following a convalescence of 4 to 8 weeks and induced ovulation, 6 of the 11 resected oviducts apprehended ova and 29% of the total number ovulated ipsilaterally, whereas the right control oviducts retrieved 77% of the corresponding ova. Direct observation in vivo showed that the ova adhered to the neofimbria and that subsequent transport across the everted, hypertrophied ampullary mucosal folds into the tubal lumen took place readily. Scanning electron microscopy of the "neofimbria" and adjoining distal ampulla demonstrated populations of ciliated and secretory cells that were similar to those of the contralateral intact fimbria. This information challenges the concept of fimbrial indispensability and depicts the fimbriated ostium of a distal ampullary cuff salpingostomy as having an adequate function, albeit less efficient than normal

摘要

长期以来,输卵管伞端一直被认为是输卵管不可或缺的一部分。为了验证这一假设,对13只新西兰白兔进行了显微手术,切除了左侧输卵管的伞端及相邻壶腹部的一半。对剩余的远端壶腹部进行了袖状输卵管造口术。在4至8周的恢复期和诱导排卵后,11只切除输卵管的兔子中有6只捕获了卵子,同侧排卵总数的29%被捕获,而右侧对照输卵管捕获了相应卵子的77%。体内直接观察表明,卵子附着在新形成的伞端,随后很容易穿过外翻肥大的壶腹部黏膜皱襞进入管腔。对“新伞端”和相邻远端壶腹部的扫描电子显微镜检查显示,纤毛细胞和分泌细胞群体与对侧完整伞端的相似。这些信息挑战了伞端不可或缺的概念,并表明远端壶腹部袖状输卵管造口术的有纤毛开口具有足够的功能,尽管其效率低于正常情况。

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