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[Rh血型不相容时胎盘绒毛的组织计量学研究]

[Histometric studies of placental villi in Rh incompatibility].

作者信息

Schuhmann R, Stoz F, Schmid A I

出版信息

Geburtshilfe Frauenheilkd. 1987 Apr;47(4):274-9. doi: 10.1055/s-2008-1035821.

Abstract

The delay in maturation of placental terminal villi in cases of Rh-incompatibility has often been described. The terminal villi of sixteen placentas from pregnancies complicated by Rh-incompatibility histometric were studied. Twenty-two placentas of healthy mothers who had born healthy babies after normal pregnancies served as a control group. The severity of the Rh-incompatibility was classified according to the clinical histories of the newborns and the criteria of Liley. The average area of a cross-section of a terminal villus was 3402 microns 2 (control group 2150 micronsoff; the degree of vascularization was calculated to be 6.5% (control group 30.5%). The other villous parameters measured or calculated show that maturation of the placenta is extremely retarded in cases of Rh-incompatibility. This failure in differentiation can not be compensated for by an enlargement of the organ as a whole. It was shown that the changes in the placental villi are closely correlated to the severity of the fetal disease.

摘要

Rh血型不相容情况下胎盘终末绒毛成熟延迟的现象常有描述。对16例因Rh血型不相容而妊娠合并症的胎盘进行了组织形态学研究。22例正常妊娠后生育健康婴儿的健康母亲的胎盘作为对照组。根据新生儿的临床病史和利利标准对Rh血型不相容的严重程度进行分类。终末绒毛横截面的平均面积为3402平方微米(对照组为2150平方微米);血管化程度经计算为6.5%(对照组为30.5%)。所测量或计算的其他绒毛参数表明,在Rh血型不相容的情况下,胎盘成熟极度迟缓。这种分化失败无法通过整个器官的增大来弥补。结果表明,胎盘绒毛的变化与胎儿疾病的严重程度密切相关。

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