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剖宫产术后无症状性腹膜子宫内膜异位症

[Asymptomatic peritoneal endometriosis following cesarean section].

作者信息

Petrozza V, Magliocca F M, Pulvirenti S, Massimi G, de Salazar C, Carpino F

机构信息

Dipartimento di Biopatologia Umana, Università degli Studi di Roma, La Sapienza.

出版信息

Minerva Ginecol. 1993 Jul-Aug;45(7-8):349-53.

PMID:8414142
Abstract

Endometriotic peritoneal implants of small dimensions were discovered in five patients undergoing laparoscopic examination for diseases unrelated to endometriosis. All patients were asymptomatic for endometriosis and each had undergone at least one previous cesarean section. Biopsies taken were studied by light microscopy which evidenced variably predominating epithelial or stromal components of lesions Perls' method was used to evidence tissue ferric iron resulting from long-standing micro-haemorrhagic foci. From this study, isolated, asymptomatic peritoneal implants of endometrium are suspected to occur frequently after cesarean section although the progression of this condition to a symptomatic state is considered infrequent and independent of specific histologic aspects of lesions.

摘要

在5名因与子宫内膜异位症无关的疾病接受腹腔镜检查的患者中,发现了小尺寸的子宫内膜异位腹膜植入物。所有患者均无子宫内膜异位症症状,且每位患者此前至少接受过一次剖宫产。所取活检组织经光学显微镜检查,结果显示病变的上皮或基质成分占比各异。采用派尔司(Perls)方法来证明由长期微出血灶产生的组织三价铁。从这项研究来看,尽管这种情况发展为有症状状态的情况被认为很少见且与病变的特定组织学特征无关,但剖宫产术后孤立的、无症状的子宫内膜腹膜植入物疑似经常发生。

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