Schubert H W
Arch Gynakol. 1977 Sep 30;223(2):127-43. doi: 10.1007/BF00667111.
By means of macroscopic, histologic and enzyme histochemical methods the concept of Schuhmann and Wehler (1971) that the mature human placenta shows a morphological organization coincides with bloodflow-units was examined. The investigation deals with the existence and distribution of terminal villi which can be distinguished on the basis of histological and enzyme histochemical peculiarities. 90 placentas were available, 3 of which were premature. In 6 cases one half of the placenta or the whole organ was cut into serial sections. Mature placentas. Per dissected placenta on an average 6--7 regions with cavities in the intervillous space could be observed, which might correlate to the "placentones" postulated by Schuhmann and Wehler (1971). Using histological techniques at random scattered areas of different size of so-called "immature" villi exist in the near of the basal plate; a relation between these areas and the placentones cannot be seen. All enzymes investigated possess a lower activity in the syncytiotrophoblast of the immature villi than in the mature ones. The demonstration of phosphatases and lysosomal enzymes reveals groups of mature villi with increased activity; they form a patchy enzyme pattern. With the exception of dehydrogenases there is no relation between villi with special enzyme activities and the placentones. Premature placentas. The younger the placenta, the larger is the volume of immature villi. Result. At present a organization of the human placenta into morphological units which correlates to the bloodflow (placentones) cannot be seen. A principle of segmentation which bases on differences between the terminal villi cannot be demonstrated.
通过宏观、组织学和酶组织化学方法,对舒曼和韦勒(1971年)提出的成熟人类胎盘呈现出与血流单位相符的形态学组织这一概念进行了研究。该研究涉及终末绒毛的存在和分布情况,这些终末绒毛可根据组织学和酶组织化学特性加以区分。共有90个胎盘可供研究,其中3个为早产胎盘。在6个案例中,将胎盘的一半或整个器官切成了连续切片。成熟胎盘。每个解剖的胎盘平均可观察到6 - 7个绒毛间隙有腔隙的区域,这可能与舒曼和韦勒(1971年)所假定的“胎盘小叶”相关。使用组织学技术发现,在基底板附近存在大小不一、随机散布的所谓“不成熟”绒毛区域;这些区域与胎盘小叶之间未见关联。所有研究的酶在不成熟绒毛的合体滋养层中的活性均低于成熟绒毛。磷酸酶和溶酶体酶的显示揭示了活性增加的成熟绒毛群;它们形成了斑片状的酶模式。除脱氢酶外,具有特殊酶活性的绒毛与胎盘小叶之间没有关联。早产胎盘。胎盘越年轻,不成熟绒毛的体积越大。结果。目前尚未发现人类胎盘存在与血流相关的形态学单位(胎盘小叶)的组织形式。基于终末绒毛差异的分段原则也无法得到证实。