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[正常妊娠、妊娠中毒症及母体糖尿病时子宫肌层和蜕膜动脉的形态学(作者译)]

[Morphology of myometrial and decidual arteries in normal pregnancy, in toxemia of pregnancy, and in maternal diabetes (author's transl)].

作者信息

Emmrich P, Birke R, Gödel E

出版信息

Pathol Microbiol (Basel). 1975;43(1):38-61.

PMID:1226314
Abstract

127 specimens, obtained by different methods from the myometrium and the placental bed after parturition, are investigated histologically. This material includes normal pregnancies as well as cases of maternal diabetes with and without hypertension and cases of hypertension in EPH-gestosis. The different parts of the arterial system (spiral arteries, basal arteries, radial arteries) are separately investigated. Physiologically, the pregnancy induces changes in the wall of the decidual arteries and possibly in the distal part of the radial arteries. The fibromuscular layer including the elastic fibers were destructed and replaced by fibrin and connective tissue. For this reason, in these parts of arteries it is very difficult to separate pathological from physiological changes.

摘要

对127份产后取自子宫肌层和胎盘床的不同标本进行了组织学研究。该材料包括正常妊娠以及患有和未患有高血压的孕产妇糖尿病病例和妊娠高血压综合征病例。分别研究了动脉系统的不同部分(螺旋动脉、基底动脉、桡动脉)。从生理上讲,妊娠会引起蜕膜动脉壁以及可能桡动脉远端部分的变化。包括弹性纤维在内的纤维肌层被破坏,由纤维蛋白和结缔组织取代。因此,在动脉的这些部位很难区分病理变化和生理变化。

相似文献

1
[Morphology of myometrial and decidual arteries in normal pregnancy, in toxemia of pregnancy, and in maternal diabetes (author's transl)].[正常妊娠、妊娠中毒症及母体糖尿病时子宫肌层和蜕膜动脉的形态学(作者译)]
Pathol Microbiol (Basel). 1975;43(1):38-61.
2
[Relation of uteroplacental circulation and morphologic findings in myometrial and decidual arteries in diabetic pregnancy].[糖尿病妊娠时子宫胎盘循环与子宫肌层及蜕膜动脉形态学表现的关系]
Zentralbl Gynakol. 1985;107(6):329-38.
3
Maternal uterine vascular lesions in the hypertensive complications of pregnancy.妊娠高血压并发症中的母体子宫血管病变
Perspect Nephrol Hypertens. 1976;5:115-27.
4
[Trophoblast cells invaing the placenta bed and change of spiral arteries and microvessels in pre-eclampsia].[子痫前期中滋养层细胞侵入胎盘床及螺旋动脉和微血管的变化]
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2008 Feb;33(2):121-9.
5
Priming and remodelling of human placental bed spiral arteries during pregnancy--a review.孕期人胎盘床螺旋动脉的启动与重塑——综述
Placenta. 2005 Apr;26 Suppl A:S31-6. doi: 10.1016/j.placenta.2005.02.010.
6
[Uterine spiral arteries of the human in gestosis, fetal growth retardation and postmaturity].[妊娠期高血压疾病、胎儿生长受限及过期妊娠时的人体子宫螺旋动脉]
Geburtshilfe Frauenheilkd. 1989 Jun;49(6):548-52. doi: 10.1055/s-2008-1035836.
7
An ultrastructural study of utero-placental spiral arteries in hypertensive and normotensive pregnancy and fetal growth retardation.高血压妊娠、正常血压妊娠及胎儿生长受限中子宫胎盘螺旋动脉的超微结构研究
Br J Obstet Gynaecol. 1981 Jul;88(7):695-705. doi: 10.1111/j.1471-0528.1981.tb01268.x.
8
Ultrastructure of uteroplacental arteries.子宫胎盘动脉的超微结构
Contrib Gynecol Obstet. 1982;9:86-99.
9
[Immunopathological study on the uterine spiral arteries in pregnancy-induced hypertension].
Zhonghua Fu Chan Ke Za Zhi. 1992 Jul;27(4):209-10, 249-50.
10
[Fluorescence microscopic studies of decidual arteries in EPH gestosis].
Arch Gynecol. 1979 Jul 20;228(1-4):675.

引用本文的文献

1
Acute Atherosis of the Uterine Spiral Arteries: Clinicopathologic Implications.子宫螺旋动脉急性粥样硬化:临床病理意义
J Pathol Transl Med. 2015 Nov;49(6):462-71. doi: 10.4132/jptm.2015.10.23. Epub 2015 Nov 4.
2
The frequency of acute atherosis in normal pregnancy and preterm labor, preeclampsia, small-for-gestational age, fetal death and midtrimester spontaneous abortion.正常妊娠、早产、先兆子痫、小于胎龄儿、胎儿死亡及孕中期自然流产中急性动脉粥样硬化的发生率。
J Matern Fetal Neonatal Med. 2015;28(17):2001-9. doi: 10.3109/14767058.2014.976198. Epub 2014 Nov 11.
3
Placental lesions associated with acute atherosis.
与急性动脉粥样硬化相关的胎盘病变
J Matern Fetal Neonatal Med. 2015 Sep;28(13):1554-62. doi: 10.3109/14767058.2014.960835. Epub 2014 Oct 30.
4
Epithelium of the human chorion laeve in diabetes mellitus. Light and electron microscopic examination.糖尿病患者平滑绒毛膜的上皮。光镜和电镜检查
Virchows Arch A Pathol Anat Histopathol. 1984;402(3):289-96. doi: 10.1007/BF00695082.
5
[Changes in the blood rheology and their influence on the oxygen diffusion in normal and pathological pregnancies (author's transl)].[正常及病理妊娠时血液流变学的变化及其对氧扩散的影响(作者译)]
Arch Gynakol. 1977 Nov 29;223(4):283-98. doi: 10.1007/BF00667368.