妊娠時子宮腟部びらんに関する研究特にコルポミクロスコープ診および組織学的検索について

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Studies were performed colpomicroscopically and histologically combinding with bacteriologial, morphological and colposcopic examination in 210 cases of pregnant women, 45 cases of puerperal women. Also 93 non-pregnant women were studied as control.<BR>The picture of blood vessels and vital-stained cells around the surface area of cervical erosion was examined employing the colpomicroscopy. Many normal squamous, cylindroid epithelia were seen in first trimester. Closely located nuclei of squamous, cylindroid epithelia were seen high frequency in second and third trimester. Vital stained cell picture were classified into five groups. Six cases of pregnant and two cases of puerperal women had atypical epithelial cells of group III.<BR>Histologically, poor squmous metaplasia of superficial epithelia was remarked in the third trimester, while increased degree of cystic and adenomatous changes of the gland under infiltrated submucous area were noted. High degree of hemorrhage and cell infiltration in the syroma was observed during the eintire course of pregnancy. The edematous change of stroma was increased ih the progress of pregnancy in proportion and the fibrous hyperplasia in puerperial period.<BR>It is valuable to utilize the colpomicroscopy as the screening method for histological study.
学校法人昭和大学・昭和医学会の論文