三种胶原纤维染色法评价宫腔粘连的比较
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(1. 北京大学第一医院妇产科,北京 100034; 2. 首都医科大学附属北京世纪坛医院妇产科,北京 100038)

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R-33


Comparison of three special staining methods for collagen fibers in evaluation of intrauterine adhesion
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(1. Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China. 2. Department of Obstetrics and Gynecology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038)

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    摘要:

    目的 比较Masson 染色?van Gieson 染色?天狼猩红(Sirius red)染色三种胶原纤维染色方法在大鼠宫腔粘连模型中的评价效果?方法 取24 只成年雌性SD 大鼠,暴露两侧子宫,左侧子宫剪开宫腔后使用机械性刮宫的方法损伤大鼠子宫内膜层,然后关腹,制作大鼠宫腔粘连模型?右侧子宫作为对照?术后14 d 取材,行HE染色?Masson 染色?van Gieson 染色?天狼猩红染色,对子宫组织纤维化进行评估?结果 刮宫后子宫组织HE 染色显示子宫内膜上皮层消失,子宫内膜腺体数量显著减少( P < 0.01)?三种染色法均能清楚地染出胶原纤维?三种染色方法计算出的纤维化面积比,Masson 染色(甲苯胺蓝)高于Masson 染色(亮绿)?van Gieson 染色和天狼猩红染色( P < 0.01)?天狼猩红染色法能够在偏振光显微镜下明确区分Ⅰ型和Ⅲ型胶原纤维,Masson 及van Gieson 染色法则不能区分?结论 天狼猩红染色较Masson 染色和van Gieson 染色能够更好地显示宫腔粘连组织的纤维化程度,并能区分胶原纤维的类型?

    Abstract:

    Objective To compare Masson staining, van Gieson staining, and Sirius red staining for evaluation of an intrauterine adhesion (IUA) model in rats. Methods In total, 24 female adult Sprague-Dawley rats were selected and bilateral uteri exposed. To establish an IUA rat model, the left uterus was cut and the endometrium scraped using a scalpel. The right uterus was used as a control. Fourteen days after surgery, all uteri were collected for histological evaluation of IUA by hematoxylin and eosin (HE) staining, Masson staining, van Gieson staining, and Sirius red staining. Results HE staining showed that the endometrial epithelial layer of the uterus was absent, with a smaller number of endometrial glands than the control uterus ( P < 0.01). Collagen fibers were clearly visible using all special staining method . The fibrotic area rate of uteri by Masson staining (using toluidine blue) was higher than Masson staining (using light green), van Gieson staining, and Sirius red staining ( P < 0.01). Under polarized light, type I and type III collagen fibers were clearly distinguished by Sirius red staining, but not using Masson and van Gieson staining. Conclusions Sirius red staining is a superior method than Masson and van Gieson staining for evaluation of fibrosis in IUA and can also differentiate collagen fiber types.

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陈醒,毛乐乐,周应芳,白文佩.三种胶原纤维染色法评价宫腔粘连的比较[J].中国比较医学杂志,2018,28(5):34~38.

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  • 收稿日期:2017-12-13
  • 在线发布日期: 2018-06-26
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