Hargitai B, Marton T, Cox P M
No 1 Department of Obstetrics and Gynecology, Semmelweis University Budapest, Baross u. 27, 1088 Budapest, Hungary.
J Clin Pathol. 2004 Aug;57(8):785-92. doi: 10.1136/jcp.2003.014217.
The human placenta is an underexamined organ. The clinical indications for placental examination have no gold standards. There is also inconsistency in the histological reports and the quality is variable. There is great interobserver variability concerning the different entities. Although there are still grey areas in clinicopathological associations, a few mainstream observations have now been clarified. The histopathological examination and diagnosis of the placenta may provide crucial information. It is possible to highlight treatable maternal conditions and identify placental or fetal conditions that can be recurrent or inherited. To achieve optimal benefit from placental reports, it is essential to standardise the method of placenta examination. This article summarises the clinical indications for placenta referral and the most common acknowledged clinicopathological correlations.
人类胎盘是一个未得到充分研究的器官。胎盘检查的临床指征尚无金标准。组织学报告也存在不一致性,质量参差不齐。不同观察者对不同实体的判断差异很大。尽管在临床病理关联方面仍存在一些模糊地带,但目前一些主流观点已得到明确。胎盘的组织病理学检查和诊断可能提供关键信息。它能够凸显可治疗的母体状况,并识别可能复发或遗传的胎盘或胎儿状况。为了从胎盘报告中获得最大益处,规范胎盘检查方法至关重要。本文总结了胎盘送检的临床指征以及最常见的公认临床病理关联。