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输卵管积水的病理

来源:华人健康网 | 发布时间:2010-09-07 08:47:32 | www.chinesejk.com

  多数学者认为,其发生系由于慢性输卵管炎伞端粘连,由于毒性较低的细菌上行感染,使管腔渗出物逐渐积留于输卵管腔内而形成。也有人认为系由慢性输卵管积脓,而脓性物被吸收后残留液体形成输卵管积水。输卵管积水多呈长茄状,远端较大。因输卵管壶腹部管壁肌层薄弱而峡部肌层坚厚,故液体多积留在壶腹部形成一个直径多为5~10cm或更大些的囊腔,小的可只见输卵管变粗,内含积液。

  输卵管积水的管壁外表光滑,壁薄而透明。管内液体清亮,管腔呈单房或多房,而以单房多见。管壁一般与周围器官无粘连或仅有少量微薄粘连.

  镜下积水上皮细胞呈扁平或低柱状,大的积水上皮呈内皮细胞形态。管壁无炎症细胞浸润。多房型者管腔被许多小梁分割成许多小房,而小梁是由邻近的粘膜皱襞相互粘连融合而成。输卵管积水偶尔可见积液由宫腔阵发性排出,称为阵发外溢性输卵管积水。

(编辑:淡淡 )

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