The effect of pregnancy upon endometriosis.
The effect of pregnancy upon endometriosis.
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DOI：
10.1097/00006254-196510000-00001
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发表时间：
1965-10-01
影响因子：
6.2
通讯作者：
Ulfelder, H
中科院分区：
文献类型：
--
作者：
McArthur, J W;Ulfelder, H
图G. 1.图解美国首例合并妊娠和子宫内膜异位症病例报告的线图。患者（Sampson系列中的病例14）是一名37岁女性，主诉间歇性痛经，前一年较多，且月经过多在3年内增加。她结婚11年了，从未怀孕。盆腔检查发现子宫不规则增大，子宫颈被一个充满子宫陷凹的硬肿瘤向前推。术前诊断为多发性子宫平滑肌瘤，在剖腹手术证实。此外，她被发现有一个巧克力囊肿的左卵巢，在解剖过程中穿孔，许多子宫内膜植入物（杂质）在子宫的后表面，以及早期子宫妊娠。显微镜下，子宫内膜种植体和巧克力囊肿的衬里显示出蜕膜反应。（左）手术标本的背面。（右）同一子宫的矢状切面，显示早期妊娠（14毫米胚胎）。来自Sampson，JA（35）。经美国妇产科杂志（CV Mosby Company，St. Louis，出版商）许可转载。今天。也许这一观点的最简洁的表述是比查姆（3）：
FI G. 1. Line drawings illustrating the first American case report of concomitant pregnancy and endometriosis. The patient (case 14 in Sampson's series) was a 37 year old woman who compłained of intermittent dysmenorrhea, more during the previous year, and of menorrhagia which had increased over a 3-year period. She had been married for eleven years and had never been pregnant. On pelvic examination the uterus was felt to be irregularly enlarged and the cervix to be pushed forward by a hard tumor filling the cul-de-sac. The preoperative diagnosis of multiple leiomyomas of the uterus was confirmed at laparotomy. In addition, she was found to have a chocolate cyst of the left ovary which perforated during the course of dissection, numerous endometrial implants (imp.) on the posterior surface of the uterus, and an early uterine pregnancy. Microscopically the endometrial implants and the lining of the chocolate cyst exhibited a decidual reaction.(Left) The posterior aspect of the surgical specimen.(Right) Sagittal section of the same uterus, demonstrating an early pregnancy (14 mm. embryo). From Sampson, JA (35). Reproduced by permission of the American Journal of Obstetrics and Gynecology, CV Mosby Company, St. Louis, publisher. the present day. Perhaps the most succinct formulation of this view is that of Beecham (3):