首都医科大学学报 ›› 2004, Vol. 25 ›› Issue (1): 114-117.

• 论著·临床研究 • 上一篇    下一篇

电切手术前后子宫VEGF、KDR表达及MVD的变化

杨保军1, 冯力民1, 张华2, 孙海梅2, 景鹏2   

  1. 1. 首都医科大学附属北京天坛医院妇产科;2. 首都医科大学组织胚胎学教研室
  • 收稿日期:2003-05-19 修回日期:1900-01-01 出版日期:2004-01-15 发布日期:2004-01-15

Variety of Vascular Endothelial Growth Factor (VEGF), Vascular Endothelial Growth Factor Receptor KDR Expressionand Microvessels Density in Endometriumbefore and after Transcervical Resection of Endometrium

Yang Baojun1, Feng Limin1, Zhang Hua2, Sun Haimei2, Jing Peng2   

  1. 1. Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences;2. Department of Histology and Embryology, Capital University of Medical Sciences
  • Received:2003-05-19 Revised:1900-01-01 Online:2004-01-15 Published:2004-01-15

摘要: 为探讨子宫内膜电切手术的分子学机制,用免疫组织化学LSAB法,检测经宫颈子宫内膜电切手术(TCRE)前后子宫内膜血管内皮生长因子(VEGF)及其受体KDR的表达和微血管密度(MVD)值的变化,并以正常增生中晚期子宫内膜为对照。结果:单纯增生电切术前子宫内膜VEGF、KDR的表达和MVD与手术后子宫内膜比较有显著性差异(P<0.05),与正常对照组比较亦有显著性差异(P<0.05);单纯子宫内膜增生手术后子宫内膜的VEGF、KDR表达和MVD与正常对照组相比无显著性差异。提示:子宫内膜电切手术对子宫内膜VEGF及KDR的表达起降调节作用,并影响术后子宫内膜的微血管生成.

关键词: 血管内皮生长因子, 血管内皮生长因子受体, 子宫内膜单纯增生, 经宫颈子宫内膜电切术, 微血管密度

Abstract: The aim was to explore molecule mechanism of TCRE for treatment of disfunction uterine ble eding. Immunohistochemical method (LSAB) was used on formalin-fixed paraffin-e mbedded e ndometrial sections to study the variety of vascular endothelial growth facto r (VEGF)、 vascular endothelial growth factor receptor KDR expression and microv essels density (MVD) in endomet rium before and after transcervical resection of endometrium. Eight normal cont rols were included. Results: The VEGF, KDR and MVD of the endometrium with simpl e hyperplasia markedly increased. The MVD, VEGF and KDR staining indices were significantl y higher in simple hyperplasia before the surgery than in normal endometrium and after the surgery (P< 0.05). But The VEGF, KDR and MVD staining indi ces in simple hyperplasia after the surgery was lower, just same as that of th e control . Conclusion: The high-score of VEGF, KDR and MVD expression of the endometrium with simple hyperplasia may be correlated with abnormal uterine bleeding. TCRE lowers significantly the score of KDR, VEGF and MVD expression of the endome trium with simple hyperplasia.

Key words: vascular epidermal growth factor, vasc ular epidermal growth factor receptor (KDR), simple hyperplasia of endometi um, transcervical resection of endometrium, microvessels density

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