输卵管的形态观测及临床意义  

Morphologic features and clinic significance of the fallopian tube

作　　者：韩向君[1] 郭成浩[2] 王绥煌[3] 王磊光 邱毅 李香营[1] 陈建强[1] 

机构地区：[1]海口市人民医院放射科,海口570208 [2]山东大学医学院病理学教研室,济南250000 [3]海南医学院附属医院,海口570101 [4]山东省计划生育科学技术研究所,济南250002

出　　处：《中国临床解剖学杂志》2010年第4期385-387,共3页Chinese Journal of Clinical Anatomy

基　　金：国家十一五支撑项目(2006BA103B04);海口市重点支持项目(2008-0000197)

摘　　要：目的通过对育龄期妇女输卵管内部形态的观察和测量,提供输卵管各部位的活体和离体数据,为输卵管生育和节育研究提供科学依据。方法输卵管造影100例、宫腔镜检查30例和离体标本20例进行输卵管各部位长度,径线及内口的形态的观察和测量,采用两样本t检验进行分析。结果⑴造影观测双侧输卵管内口直径为(1.07±0.48)mm;间质部中段(0.50±0.22)mm;间质部远端(0.32±0.12)mm;峡部内径(0.46±0.28)mm;壶腹部内径(2.43±1.45)mm;间质部长度(5.27±4.28)mm;峡部长度(24.35±12.27)mm;壶腹部长度(39.94±22.05)mm;总长(70.78±32.07)mm。⑵宫腔镜观测内口为圆形占76.7%和椭圆形占23.3%;⑶离体标本观测内口周径(5.87±1.46)mm;峡部周径(2.83±1.87)mm;间质部长度(6.73±2.49)mm;峡部长度(20.56±7.61)mm;全长(85.42±22.93)mm。结论⑴输卵管是内外口扩大而内径不均匀走行曲折迂回的管道,间质部呈漏斗状,最狭窄的部位在间质部远端。⑵了解输卵管的内部形态对生育和节育的研究都具有重要意义。Objective To explore morphologic features of the fallopian tube of reproductive aged women and provide the basis for the study of tubal sterilization and fertility.Methods The length,diameter and the orifice of the fallopian tube were observed,measured and analyzed on the data from 100 cases of salpingography（HSG）,30 cases of hysteroscopy and 20 cadaveric specimens.Results HSG showed that,the diameter of internal orifice,the lengths of the middle and distal of interstitial parts were about（1.07±0.48）mm, （0.50±0.22）mmand（0.32±0.12）mm averagely,respectively.The internal diameter of the isthmus and the ampulla were（0.46±0.28 mm）and（2.43±1.45）mm respectively.the length of interstitial part,isthmus,ampulla and the total were（5.27±4.28 mm）,（24.35±12.27）mm,（39.94±22.05）mm and（70.78±32.07）mm respectively. Hysteroscopy showed the round（76.7%）or oval（23.3%）internal orifices of fallopian tube.The perimeter of internal orifice was（5.87±1.46）mm,and of the isthmus（2.83±1.87）mm.The length of interstitial part,isthmus and the total were（6.73±2.49）mm,（20.56±7.61）mm and（85.42±22.93）mm,respectively on cadaveric specimens.Conclusions Fallopian tube is a tortuous channel with the dilated internal and external orifices. The interstitial part is funnel-shaped,with the narrowest part at the distal of it.It is necessary to understand morphologic features of fallopian tube for the study of sterilization and fertility.

关 键 词：输卵管 造影检查 宫腔镜 

分 类 号：R812[医药卫生—放射医学] R322.6[医药卫生—临床医学]