Archakova T M, Zadorozhna T D
Lik Sprava. 1999 Jul(5):73-8.
Biopsy of chorion early in the course of pregnancy is of great diagnostic value. Morphological, electron microscopic, and morphometric findings for the shaggy chorion during the I to II trimesters of pregnancy show that in women aged 35 to 45 years with physiological pregnancy changes occur in all structures of the placental barrier as compared to young women. During the I and II trimesters of pregnancy, those women who range from 35 to 45 years old exhibit disturbances in the processes of chorion vascularization, with the compensatory and adaptive reactions developing on the cellular and subcellular levels. In women aged 41 to 45 years, disordered processes of vascularization in the placental barrier are recordable together with dystrophic changes in the syncytiotrophoblast and compensatory and adaptive reactions in endothelial cells of fetal capillaries.
妊娠早期绒毛膜活检具有重要的诊断价值。妊娠1至2个月末粗毛膜的形态学、电子显微镜及形态测量学研究结果表明,与年轻女性相比,35至45岁生理妊娠女性胎盘屏障的所有结构均发生了变化。在妊娠1至2个月末,35至45岁的女性绒毛膜血管形成过程出现障碍,在细胞及亚细胞水平上出现代偿性和适应性反应。在41至45岁的女性中,可记录到胎盘屏障血管形成过程紊乱,同时合体滋养层出现营养不良性变化,胎儿毛细血管内皮细胞出现代偿性和适应性反应。