Schaaps J P, Tsatsaris V
Département de gynécologie obstétrique, université de Liège, CHR Citadelle, B-4000 Liège, Belgique.
Gynecol Obstet Fertil. 2001 Jul-Aug;29(7-8):509-11. doi: 10.1016/s1297-9589(01)00182-5.
The intervillous space is considered as receiving the most important part of the uterine flow input (> 90%), reaching the placenta through the modified spiral arteries network. The low vascular resistance detected on the uterine arteries is thought to be due to the presence of the placental shunt. Using a 3D Colour Doppler technology (ATL 5000), a complex anastomotic and intra-myometrial network has been detected. This vascular network is always detected during the first 48 hours of after delivery. During this time, the placenta has been removed, the uterine muscle is contracted, a low resistance of the uterine flow is systematically detected. A extraplacental vascular component must be considered as taking a functional part in the foeto-maternal exchanges.
绒毛间隙被认为接受了子宫血流输入的最重要部分(>90%),通过改良的螺旋动脉网络到达胎盘。子宫动脉检测到的低血管阻力被认为是由于胎盘分流的存在。使用三维彩色多普勒技术(ATL 5000),检测到了一个复杂的吻合和肌层内网络。这个血管网络在产后最初48小时内总能被检测到。在此期间,胎盘已被移除,子宫肌收缩,子宫血流阻力低被系统地检测到。必须认为胎盘外血管成分在母婴交换中起功能性作用。