首都医科大学学报 ›› 1998, Vol. 19 ›› Issue (4): 358-360.

• 论著 • 上一篇    下一篇

Norplant使用者子宫内膜形态与性激素受体变化的研究

韩学军1, 翁梨驹1, 史小林2, 许晴2, 路欣2, 诸定寿2   

  1. 1. 首都医科大学附属北京红十字朝阳医院妇产科;2. 首都医科大学生殖医学研究室
  • 收稿日期:1998-01-20 修回日期:1900-01-01 出版日期:1998-10-15 发布日期:1998-10-15

The Study on Changes of Morphology and Sex Steroid Receptors in Endometrium of Norplant Users

Han Xuejun1, Weng Liju1, Shi Xiaolin2, Xu Qing2, Lu Xin2, Zhu Dingshou2   

  1. 1. Department of Obstertrics and Gynecology, Chao Yang Hospital;2. Department of Reproductive Medicine
  • Received:1998-01-20 Revised:1900-01-01 Online:1998-10-15 Published:1998-10-15

摘要: 为探讨Norplant埋植后不规则出血的内膜与性激素受体的相关性,对正常月经周期和Norplant埋植6个月、1年有不规则出血的人子宫内膜进行形态学与免疫组织化学ER和PR的观察.结果证明不规则子宫出血的内膜无典型周期性变化;部分内膜血管断裂,雌激素受体(ER)和孕激素受体(PR)有不同程度的减少.提示Norplant可抑制子宫内膜ER和PR的生成,从而抑制了雌激素(E)和孕激素(P)的生物活性,其中血管壁生长不良是不规则子宫出血的主要原因之一.

关键词: Norplant, 雌激素受体, 孕激素受体, 异常子宫出血

Abstract: The normal cyclic endometrium, the endometrium of irregular bleeding which using Norplant for about half a year and 1 year. All endometrial tissues were studied on morphology and sex steroid receptors by immunohistochemistry. It is to research the relationship between the irregular bleeding and sex steroid receptors of endometrium. The results demonstrated that changes of normal cyclic had not showed in endometrium using Norplant. The vessels of endometrium showed break. The lever of ER and PR in endometrium showed decrease in varying degrees. These results suggested that LNG inhibit production of ER and PR in endometrium. For this reason, bioactivities of E and P were inhibited, among which unhealthy grow of vessels is a possible reason for abnormal uterine bleeding.

Key words: Norplant, estrogen receptor, progesterone receptor, abnormal uterine bleeding

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