ВУЗ: Не указан
Категория: Не указан
Дисциплина: Не указана
Добавлен: 09.04.2024
Просмотров: 121
Скачиваний: 1
Section I • Histology and Cell Biology
Copyright McGraw-Hi/I Companies. Used with permission.
Figure 1-11-6. Oviduct with simple columnar epithelium and underlying layer of smooth muscle (arrow)
The wall of the oviduct has 3 layers: a mucosa, a muscularis, and a serosa com posed of visceral peritoneum. The mucosa has longitudinal folds that are most numerous in the ampulla. The epithelium lining the mucosa is simple columnar. Some cells are ciliated and the other are secretory. The cilia beat toward the uter us, causing movement of the viscous liquid film (derived predominantly from the secretory cells) that covers the surface of the cells. The secretion has nutrient and protective functions for the ovum and promotes activation of spermatozoa. Movement of the liquid together with contraction ofthe muscle layer transports the ovum or fertilized egg (zygote) to the uterus.
Ciliary action is not essential, so women with immotilecilia syndrome (Karta gener's syndrome) willhave a normal tubal transport of the ovum. The mus cularis consists of smooth-muscle fibers in a inner circular layer and an outer longitudinal layer.
An ectopic pregnancy occurs when the fertilized ovum implants, most com monly in the wall of the ampulla of the oviduct. Partial development proceeds for a time but the tube is too thin and the embryo cannot survive. The vascular placental tissues that have penetrated the thin wall cause brisk bleeding into the lumen of the tube and peritoneal cavity when the tube bursts.
UTERUS
The uterus is a pear-shaped organ that consists of a fundus which lies above the entrance sties of the oviducts; a body (corpus) which lies below the entry point of the oviducts and the internal os; a narrowing of the uterine cavity; and a lower cylindrical structure, the cervix, which lies below the internal os. The wall of the uterus is relatively thick and has 3 layers. Depending upon the part of the uterus, there is either an outer serosa (connective tissue and mesothelium) or adventitia (connective tissue). The 2 other layers are the myometrium (smooth muscle) and the endometrium (the mucosa ofthe uterus).
144 MEDICAL