Disturbtion of the endosalpingeal ultra-structure as a sterility cause under distal uterine tube occlusion

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Abstract

We analyzed the ultra-structure of endosalpingian microbiopsies in 26 infertile patients with hydrosalpingites. We calculated the percentage of ciliated cells and estimated different parameters including the height of the epithelium, the presence of adhesions, epithelial desquamation, inflammatory cells and fibrosis in the wall. The microbiopsies were also investigated for their fine structure by transmission microscopy. Abnormalities of the kinocilia were detected. It was found that the formation of the hydrosalpingites is followed by the development of the deep dystrophic changes in endosalpinx. The latter can be the reason for the functional tubal disability in infertile patients.

About the authors

Р. V. Lyatoshinskaia

Military-medical Academy

Email: info@eco-vector.com

Department of Obstetrics and Gynecology named after AND I. Krassovsky

Russian Federation, Saint Petersburg

Evgenii F. Kira

Institute for advanced training of doctors at the NMHTs them. N.I. Pirogov M3 RF

Email: info@eco-vector.com

Doctor of Medical Sciences, Professor, Department of Women's Diseases and Reproductive Health

Russian Federation, Moscow

Vitalyi F. Bezhenar

Military-medical Academy

Email: info@eco-vector.com

Doctor of Medical Sciences, Professor, Head of the Department of Obstetrics and Gynecology named after V.I. AND I. Krassovsky

Russian Federation, Saint Petersburg

А. Р. Novozhylova

Military-medical Academy

Author for correspondence.
Email: info@eco-vector.com

Department of Obstetrics and Gynecology named after AND I. Krassovsky

Russian Federation, Saint Petersburg

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2. Fig. 1. Photomicrograph of the normal endosalpinx of the ampulla of the fallopian tube.

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3. Fig. 2. Hydrosalpinx.

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4. Fig. 3. Hydrosalpinx.

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5. Fig. 4. Hydrosalpinx.

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6. Fig. 5. Hydrosalpinx.

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7. Fig. 6. Cilium (diagram):

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8. Fig. 7. Longitudinal and transverse sections of endosalpinx cilia.

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9. Fig. 8. Hydrosalpinx.

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10. Fig. 9. Hydrosalpinx.

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