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不明病因绒毛膜羊膜炎:对早产人群的临床影响

Villitis of unknown aetiology: Clinical implications in preterm population.

作者信息

Iskender C, Zergeroglu S, Kaymak O, Çelen S, Danisman N

机构信息

a Department of Perinatology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.

b Department of Pathology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.

出版信息

J Obstet Gynaecol. 2016;36(2):192-5. doi: 10.3109/01443615.2015.1036410. Epub 2015 Oct 2.

Abstract

Villitis of unknown aetiology (VUE) is a chronic inflammatory process of chorionic villi which is reported to occur in up to 15% of term placentas. The present study aimed to investigate the association between VUE and perinatal complications in a population who delivered before term. Patients with VUE had a significantly higher rate of intrauterine growth restriction than the control group (47.1% vs. 20.6%, p < 0.01). In addition patients with VUE had a higher rate of deliveries due to absent diastolic flow on umbilical artery doppler than the control group (17.6% vs. 4.4%, p: 0.03). The rate of spontaneous preterm birth or pre-eclampsia was similar in patients with VUE and control groups. The present study provides some evidence that VUE is associated with abnormal perinatal outcomes in pregnant women who give birth before term.

摘要

病因不明的绒毛膜羊膜炎(VUE)是一种绒毛膜绒毛的慢性炎症过程,据报道在足月胎盘发生率高达15%。本研究旨在调查早产人群中VUE与围产期并发症之间的关联。VUE患者的宫内生长受限发生率显著高于对照组(47.1%对20.6%,p<0.01)。此外,VUE患者因脐动脉多普勒舒张期血流消失导致的分娩率高于对照组(17.6%对4.4%,p:0.03)。VUE患者与对照组的自然早产或先兆子痫发生率相似。本研究提供了一些证据表明,VUE与早产孕妇的围产期异常结局有关。

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