Osol G, Cipolla M
Department of Obstetrics and Gynecology, University of Vermont College of Medicine, Burlington 05405.
Am J Obstet Gynecol. 1993 Jan;168(1 Pt 1):268-74. doi: 10.1016/s0002-9378(12)90924-2.
The purpose of this study was to describe the effects of pregnancy on the size and three-dimensional mechanics of uterine radial arteries.
Measurements of lumen diameter, wall thickness, and axial and radial distensibility were made in situ and in pressurized segments of excised vessels from nonpregnant (n = 29) and late-pregnant (days 19 to 21, n = 19) Sprague-Dawley rats.
In the unpressurized state, the overall length of the radial artery segment of the arcade increased approximately 4.8 times during gestation. Lumen diameter increased by 60%, as did distensibility in both the radial and axial directions. However, there was no measurable change in the thickness of the vascular wall, which was muscular in appearance and comprised approximately two layers of circumferentially oriented smooth muscle, a relatively thick internal elastic lamina, and a well-defined endothelial layer. Cross-sectional area increased significantly during pregnancy (1.37 times at 50 mm Hg), as did the overall volume of the vascular wall (6.86 times at 50 mm Hg), primarily as a result of arterial growth in the longitudinal (axial) direction.
Remodeling of the radial artery segment of the uterine vasculature clearly occurs during gestation, resulting in vessels that are of a larger caliber and are longer and more distensible in both the axial and radial directions.
本研究旨在描述妊娠对子宫桡动脉大小和三维力学的影响。
对非妊娠(n = 29)和妊娠晚期(第19至21天,n = 19)的Sprague-Dawley大鼠的离体血管在原位和加压段测量管腔直径、壁厚以及轴向和径向扩张性。
在非加压状态下,妊娠期间弓状动脉段的桡动脉总长度增加约4.8倍。管腔直径增加60%,径向和轴向的扩张性也增加60%。然而,血管壁厚度没有可测量的变化,其外观为肌肉性,由大约两层周向排列的平滑肌、相对较厚的内弹性膜和明确的内皮细胞层组成。妊娠期间横截面积显著增加(在50 mmHg时为1.37倍),血管壁总体积也显著增加(在50 mmHg时为6.86倍),主要是由于动脉在纵向(轴向)方向上的生长。
子宫血管系统的桡动脉段在妊娠期间明显发生重塑,导致血管口径更大,在轴向和径向上更长且更具扩张性。