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通过测量子宫肌层内压力对月经周期中人类离体未孕子宫收缩性的研究(作者译)

[Investigations of the human isolated nonpregnant uterus contractility in the course of the menstrual cycle by measuring intramyometrial pressure (author's transl)].

作者信息

Czekanowski R

出版信息

Zentralbl Gynakol. 1977;99(11):646-56.

PMID:899348
Abstract

In this work, the behaviour of the intramyometrial pressure, registered in the wall of the myometrium of the human isolated nonpregnant uterus, has been followed up. Intramyometrial pressure measurements were performed in 33 uteri. Simultaneously the intravascular pressure was monitored. The values of the intramyometrial pressure correspond with the intrauterine pressure, and the pressure in the uterine cavity, measured with the use of inserted balloon, was a resultant of the intrauterine pressure measured in the corpus uteri and isthmus at the same time. It has been found that in the course of the sexual cycle, nonpregnant human uterus shows irregular contractile activity. The contractile activity of the nonpregnant human uterus is characterized by the lack of coordination of contractions among particular uterine regions registered simultaneously. During the course of the menstrual cycle the isthmus region was dominating and revealed a pacemaker properties and during menstrual bleeding corpus uteri dominated. The results were discussed and the close relationship between uterine contractility and intravascular pressure was underlined.

摘要

在这项研究中,对人体离体未孕子宫肌层壁记录的肌层内压力行为进行了跟踪。对33个子宫进行了肌层内压力测量。同时监测血管内压力。肌层内压力值与子宫内压力相对应,使用插入球囊测量的子宫腔内压力是同时在子宫体和峡部测量的子宫内压力的合力。研究发现,在性周期过程中,未孕人体子宫表现出不规则的收缩活动。未孕人体子宫的收缩活动特点是同时记录的特定子宫区域之间的收缩缺乏协调性。在月经周期过程中,峡部区域占主导并表现出起搏特性,而在月经出血时子宫体占主导。对结果进行了讨论,并强调了子宫收缩性与血管内压力之间的密切关系。

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