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[术前预防性给予低剂量肝素对卵巢血管结扎残端的组织学变化]

[Histological changes in ligated stumps of ovarian blood vessels in preventive preoperative low-dose heparin administration].

作者信息

Slunsky R

机构信息

Abteilung für Frauenheilkunde und Geburtshilfe, Krankenhaus Klosterneuburg, Osterreich.

出版信息

Gynakol Geburtshilfliche Rundsch. 1994;34(1):17-22. doi: 10.1159/000272322.

Abstract

The blood coagulation processes in ligated vasa ovarica after preoperative injection of low-dose standard heparin were examined in 30 women during abdominal hysterectomy and adnexectomy. We resected the stumps after 30 min. Histological examination revealed that in 20% of the arteries and in 30% of the veins there were blood coagulation processes of different extent near the ligation only. The final vascular occlusion is mainly achieved via locally limited damage of vessels and endothelial cells which leads to a direct and quick obliteration of the lumen by proliferation of tissue fibroblasts.

摘要

在30例接受腹部子宫切除术和附件切除术的女性患者中,研究了术前注射低剂量标准肝素后结扎卵巢血管的凝血过程。30分钟后切除残端。组织学检查显示,仅在结扎部位附近,20%的动脉和30%的静脉出现了不同程度的凝血过程。最终的血管闭塞主要是通过血管和内皮细胞的局部有限损伤实现的,这导致组织成纤维细胞增殖,直接快速地闭塞管腔。

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