SCANNING ELECTRON-MICROSCOPY OF ENDOMETRIOTIC LESIONS IN THE PELVIC PERITONEUM AND THE HISTOGENESIS OF ENDOMETRIOSIS
SCANNING ELECTRON-MICROSCOPY OF ENDOMETRIOTIC LESIONS IN THE PELVIC PERITONEUM AND THE HISTOGENESIS OF ENDOMETRIOSIS
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DOI：
10.1016/0020-7292(92)90263-i
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发表时间：
1992-12-01
影响因子：
3.8
通讯作者：
MIYAKAWA, I
中科院分区：
文献类型：
--
作者：
HAYATA, T;MATSU, T;MIYAKAWA, I
目的：确定子宫内膜异位症病变的上皮是否具有异位子宫内膜腺上皮形态，用于子宫内膜异位症的组织发生。方法：对25例子宫内膜进行扫描电镜检查。组织学证实的子宫内膜异位症病变中有10例进行了扫描电镜检查。结果：组织学证实的10例子宫内膜异位症患者中有3例经扫描电镜显示子宫内膜样形态，而15例未见组织学子宫内膜异位症的正常腹膜经扫描电镜未见子宫内膜样结构。结论：虽然上述结果不支持月经逆行和着床，但它们提示了子宫内膜衍生的可能性。
OBJECTIVE: To determine whether the epithelium of an endometriotic lesion has eutopic endometrial glandular epithelium morphology or not for the histogenesis of endometriosis. METHOD: Scanning electron microscopy (SEM) of the endometrium was done for 25 cases. Histologically proven endometriotic lesions of 10 of these 25 cases were processed for SEM. Peroneum samples of another 15 cases without histological endometriosis were also studied RESULT: Three of 10 cases with histologically proven endometriotic lesions revealed endometrium-like morphology by SEM, whereas normal appearing peritoneum without histological endometriosis in 15 cases showed no endometrium-like structures by SEM. CONCLUSION: Although above mentioned results did not support retrograde menstruation and implantation, they suggested a possibility of derivation from the endometrium.