摘要
目的 探讨伴有输卵管和盆腔病变的不孕妇女粘连腹膜活检标本的病理特点。方法 通过光镜对 16 3例不孕妇女的粘连腹膜进行组织学观察。结果 36例伴有第二苗勒管病损 ,包括 19例输卵管内膜异位、16例子宫内膜异位和 1例浆液性交界性乳头状腺瘤。 14例伴有砂砾体形成 ,5 1例伴有间皮增生 ,113例有活动性炎症改变。统计学上第二苗勒管病损与活动性炎症无关 ,但间皮增生与活动性炎症有关。结论 输卵管炎症所致粘连的盆腔腹膜可伴有间皮增生和第二苗勒管病损 。
Objective To investigate the pathological features of the adherent pelvic peritoneum in patients with tubal infertility. Methods A total of 163 cases were studied by light microscopy. Results Among 163 cases, there were 36 cases (22.09%) companied with the lesions of the secondary Mullerian system, which included endosalpingiosis (11.7%), endometriosis (9.82%) and 1 case of serousborderline tumor. Psammoma bodies were present in 8.59% of the cases. There were 31.29% with hyperplasia of peritoneal mesothelial cells and 69.32% with active inflammatory lesions. The incidence of lesions of the secondary Mullerian system was not related with active inflammatory lesions (p>0.05), but mesothelial hyperplasia was related with active inflammatory lesions (p<0.05). Conclusion The adherent pelvic peritoneum resulted from salpingtis may associate with mesothelial hyperplasia and metaplastic lesions of the secondary Mullerian system, which must be differentiated from mesothelial neoplasms or secondary tumors.
出处
《诊断病理学杂志》
CSCD
2005年第2期115-117,i010,共4页
Chinese Journal of Diagnostic Pathology
关键词
腹膜
间皮增生
输卵管异位
子宫内膜异位
Pelvic peritoneum
Mesothelial hyperplasia
Endosalpingiosis
Endometriosis
