ORIGIN OF PERITONEAL-FLUID IN WOMEN - AN OVARIAN EXUDATION PRODUCT
ORIGIN OF PERITONEAL-FLUID IN WOMEN - AN OVARIAN EXUDATION PRODUCT
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DOI：
10.1111/j.1471-0528.1980.tb04514.x
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发表时间：
1980-01-01
期刊：
影响因子：
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通讯作者：
BROSENS, IA
中科院分区：
文献类型：
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作者：
KONINCKX, PR;RENAER, M;BROSENS, IA
对 303 名女性进行腹腔镜抽吸后测量腹腔液量。通过 Hb 测定估计血液污染率为 4.2%。在120名月经周期规律的女性中，腹腔液量在卵泡期逐渐增加，在黄体早期达到最高(20.0±6.3ml)，此后逐渐减少。 89 名患有中度和轻度子宫内膜异位症的女性中，腹腔液量相似，但 9 名患有重度子宫内膜异位症的女性在黄体期的腹腔液量较低（P < 0.05）。卵巢不活跃的女性腹膜液量普遍较低：4.2 .+-。 31 名服用复方口服避孕药的女性为 2.3 毫升； 4.7.+-. 17 名女性每天服用 5 毫克 lynoestrenol 和 1.2 .+-，结果为 5.8 毫升。 20 名子宫内膜不活跃的绝经后妇女的 1.9 毫升。两名子宫内膜增生的绝经后妇女分别有 7 和 10 毫升腹腔积液。卵巢活跃的女性、5 名输卵管缺失或远端闭塞的女性以及 7 名无子宫的女性腹膜液量正常。腹腔液量不受盆腔静脉曲张、黄体可见或排卵柱头的影响。腹膜液似乎主要是卵巢渗出液，既不是盆腔腹膜的渗出液，也不是输卵管分泌物。
The volume of peritoneal fluid was measured after laparoscopic aspiration in 303 women. Contamination with blood was estimated at 4.2% by Hb assay. In 120 women with regular menstrual cycles, the volume of peritoneal fluid increased progressively during the follicular phase, was highest during the early luteal phase (20.0 .+-. 6.3 ml) and declined thereafter. In 89 women with moderate and mild endometriosis the amounts of peritoneal fluid were similar, but 9 women with severe endometriosis had lower (P < 0.05) volumes during the luteal phase. Women with inactive ovaries had uniformly low amounts of peritoneal fluid: 4.2 .+-. 2.3 ml in 31 women taking combined oral contraceptive pills; 4.7 .+-. 5.8 ml in 17 women taking 5 mg of lynoestrenol daily and 1.2 .+-. 1.9 ml in 20 postmenopausal women with an inactive endometrium. Two postmenopausal women with proliferative endometrium had 7 and 10 ml of peritoneal fluid. Women with active ovaries, 5 with absent or distally occluded Fallopian tubes and 7 without a uterus had normal amounts of peritoneal fluid. The volume of peritoneal fluid was not affected by pelvic varicose veins, a visible corpus luteum or an ovulation stigma. Peritoneal fluid appears to be predominantly an ovarian exudate, neither an exudate from the pelvic peritoneum nor a tubal secretion.