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胎盘病理学检查:存在的理由、临床意义和法医学用途。

Pathological examination of the placenta: raison d'être, clinical relevance and medicolegal utility.

机构信息

Department of Pathology and Laboratory Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore.

出版信息

Singapore Med J. 2009 Dec;50(12):1123-33.

PMID:20087546
Abstract

Formal pathological examination of the placenta provides valuable information to the obstetrician, neonatologist, paediatrician and family. This article aims to provide the clinician with an overview of the significance of placental examination in relation to common or important pathological processes, and the utility of information obtained therein in explaining adverse outcomes, management of subsequent pregnancies, and assessment of newborn risk for the development of short- or long-term sequelae. General guidelines for placental examination, and logistical and practical issues are also discussed. Finally, the role of the placenta in the defence of obstetricians and other healthcare workers in cases of poor neonatal outcome is described.

摘要

对胎盘进行正式的病理检查可为产科医生、新生儿科医生、儿科医生和家庭提供有价值的信息。本文旨在为临床医生提供胎盘检查在常见或重要病理过程中的意义概述,以及从中获得的信息在解释不良结局、管理后续妊娠以及评估新生儿短期或长期后遗症风险方面的作用。还讨论了胎盘检查的一般指南以及后勤和实际问题。最后,描述了胎盘在保护产科医生和其他医护人员在新生儿结局不佳的情况下的作用。

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1
Pathological examination of the placenta: raison d'être, clinical relevance and medicolegal utility.胎盘病理学检查:存在的理由、临床意义和法医学用途。
Singapore Med J. 2009 Dec;50(12):1123-33.
2
Clinical significance of placental examination in perinatal medicine.胎盘检查在围产医学中的临床意义。
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3
A case of stillbirth: the importance of placental investigation in medico-legal practice.一例死产病例:胎盘检查在法医学实践中的重要性。
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[Pathology of the placenta. XIII. Pathological anatomy of the placenta and placental insufficiency].[胎盘病理学。第十三部分。胎盘的病理解剖与胎盘功能不全]
Zentralbl Pathol. 1993 Mar;139(1):1-9.
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Life (Basel). 2024 Jul 24;14(8):927. doi: 10.3390/life14080927.
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Macroscopic lesions of maternal and fetal vascular malperfusion in stillborn placentas: Diagnosis in the absence of microscopic histopathological examination.死胎胎盘母体和胎儿血管灌注不良的大体病变:在没有微观组织病理学检查的情况下的诊断。
Placenta. 2023 Sep 7;140:60-65. doi: 10.1016/j.placenta.2023.07.296. Epub 2023 Jul 28.
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A practical guide to placental examination for forensic pathologists.法医病理学家胎盘检查实用指南。
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Association of coexisting morphological umbilical cord abnormality and clinical cord compromise with hypoxic and thrombotic placental histology.形态学脐带异常与临床脐带受压并存与缺氧和血栓形成的胎盘组织学的关联。
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Full-term abdominal extrauterine pregnancy complicated by post-operative ascites with successful outcome: a case report.足月腹腔外妊娠合并术后腹水且结局良好:一例病例报告
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