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Background: The aim of this study was to visualise and describe the vasculature of the human uterine cervix. Material and methods: The material for this study was obtained from women (age between 20 to 45 years) during autopsy. The material was collected not later than 24 h post-mortem. This study was performed using uteri from cadavers of menstruating nulliparas (33 uteri) and menstruating multiparas (27 uteri). Collected uteri were perfused via the afferent vessels with Mercox resin (for corrosion-casting and SEM assessment) or acrylic paint solution (light microscopy assessment). The research protocol was approved by the Jagiellonian University Ethics Committee (registry KBET/121/8/2007). Results: In all cases bilateral cervical branches (1–4), originating from the uterine artery, were found. Both in the vaginal and supravaginal parts of the cervix, four distinct vascular zones were found. In the pericanalar zone ran small veins, responsible for draining the mucosal capillaries. Both in the muscular layer, as well as in the pericanalar zone, arterioles, and venules passed close to each other, often adjoining. Conclusions: This study does not confirm the existence of a single “cervicovaginal” artery, but shows that the vascular supply of the cervix comes from several vessels. It also introduces the idea of two systems, responsible for draining blood from the mucosal capillaries. Neither assessment in light microscopy nor in SEM revealed any differences between multiparas and nulliparas, regarding the vascular architecture of the cervix. (Folia Morphol 2012; 71, 3: 142–147)
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Opis fizyczny
p.142-147,fig.,ref.
Twórcy
autor
- Department of Anatomy, Jagiellonian University Medical College, ul.Kopernika 12, 31–034 Krakow, Poland
autor
- Department of Anatomy, Jagiellonian University Medical College, ul.Kopernika 12, 31–034 Krakow, Poland
autor
- Department of Anatomy, Jagiellonian University Medical College, ul.Kopernika 12, 31–034 Krakow, Poland
autor
- Department of Anatomy, Jagiellonian University Medical College, ul.Kopernika 12, 31–034 Krakow, Poland
autor
- Department of Anatomy, Jagiellonian University Medical College, ul.Kopernika 12, 31–034 Krakow, Poland
autor
- Department of Anatomy, Jagiellonian University Medical College, ul.Kopernika 12, 31–034 Krakow, Poland
Bibliografia
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- 2. Bulletti C, Jasonni VM, Tabanelli S, Ciotti P, Vignudelli A, Flamigni C (1985) Changes in the uterine vasculature during the menstrual cycle. Acta Eur Fertil, 16: 367–371.
- 3. Chen CL, Guo HX, Liu P, Huang R, Yang ZB, Tang L, Li ZY, Liu C, Wu KC, Zhong GM, Hong HW, Hu JW, Li JY, Yu YH, Zhong SZ, McLucas B, Beller M (2009) Three-dimensional reconstruction of the uterine vascular supply through vascular casting and thin slice computed tomography scanning. Minim Invasive Ther Allied Technol, 18: 98–102.
- 4. deSouza NM, Hawley IC, Schwieso JE, Gilderdale DJ, Soutter WP (1994) The uterine cervix on in vitro and in vivo MR images: a study of zonal anatomy and vascularity using an enveloping cervical coil. Am J Roentgenol, 163: 607–612.
- 5. Farrer-Brown G, Beilby JO, Rowles PM (1970) Microvasculature of the uterus. An injection method of study. Obstet Gynecol, 35: 21–30.
- 6. Fujimori TA (1983) Scanning electron microscope study of the fine angioarchitecture of the uterine cervix — the process of mosaic formation and analysis of mosaic patterns. Acta Obstet Gynaecol Jap, 35: 431–436.
- 7. Kawaoka K (1980) A scanning electron microscope study of the fine angioarchitecture of “punctuation” and “atypical vessels”. Acta Obstet Gynaecol Jap, 32: 823–832.
- 8. Lametschwandtner A, Lametschwandtner U, Weiger T (1990) Scanning electron microscopy of vascular corrosion casts — technique and applications: updated review. Scanning Microsc, 4: 889–941.
- 9. Lametschwandtner A, Miodoński A, Simonsberger P (1980) On the prevention of specimen charging in scanning electron microscopy of vascular corrosion casts by attaching conductive bridges. Mikroskopie, 36: 270–273.
- 10. Lindebaum E, Brandes JM, Itskovitz J (1978) Ipsi- and contralateral anastomosis of the uterine arteries. Acta Anat, 102: 157–161.
- 11. Manconi F, Thomas GA, Fraser IS (2010) A historical overview of the study and representation of uterine microvascular structures. Microvasc Res, 79: 80–89.
- 12. Miodoński A, Hodde KC, Bakker C (1976) Rasterelektronenmikroskopie von Plastik-Korrosions-Praeparaten: morphologische Unterschiede zwischen Arterien and Venen. BEDO, 9: 435–442.
- 13. Osol G, Mandala M (2002) Maternal uterine vascular remodeling during pregnancy. Physiology (Bethesda), 24: 58–71.
- 14. Palacios-Jaraquemada JM, García Mónaco R, Barbosa NE, Ferle L, Iriarte H, Conesa HA (2007) Lower uterine blood supply: extrauterine anastomotic system and its application in surgical devascularization techniques. Acta Obstet Gynecol Scand, 86: 228–234.
- 15. Pilarczyk K, Kozik W, Czerwiński F (2002) Arteries of the uterine cervix in reproduc-tive age in microangiographic studies. Ginekol Pol, 73b: 1179–1183.
- 16. Sammour RN, Gonen R, Ohel G, Leibovitz Z (2011) Cervical varices complicated by thrombosis in pregnancy. Ultrasound Obstet Gynecol, 37: 614–616.
- 17. Sekiba K, Okuda H, Fukui H, Ishii Y, Kawaoka K, Fujimori T (1979) A scanning electron microscope study of the fine angioarchitecture of the uterine cervix using a newly established cast formation technique. Obstet Gynecol Surv, 34: 823–826.
- 18. Składzień J, Litwin JA, Nowogrodzka-Zagórska M, Miodoński AJ (1995) Corrosion casting study on the vasculature of nasal mucosa in the human fetus. Anat Rec, 242: 411–416.
- 19. Walocha JA, Litwin JA, Miodoński AJ (2003) Vascular system of intramural leiomyomata revealed by corrosion casting and scanning electron microscopy. Hum Reprod, 18: 1088–1093.
- 20. Walocha JA, Miodoński AJ, Nowogrodzka-Zagórska M, Kuciel R, Gorczyca J (2002) Application of a mixture of glycol polyethylenes for the preparation of microcorrosion casts — an observation. Folia Morphol, 61: 313–316.
- 21. Walocha JA, Szczepański W, Miodoński AJ, Gorczyca J, Skrzat J, Bereza T, Ceranowicz P, Lorkowski J, Stachura J (2003) Application of acrylic emulsion Liqiu-tex R (Binney and Smith) for the preparation of injection specimens and immu-nohistochemical studies — an observation. Folia Morphol, 62: 157–161.
Typ dokumentu
Bibliografia
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