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人类胚胎和胎儿孕龄的组织学评估。

Histological assessment of gestational age in human embryos and fetuses.

作者信息

Barbet J P, Houette A, Barres D, Durigon M

机构信息

Laboratory of Pathologic Anatomy, Saint Vincent de Paul Hospital, Paris, France.

出版信息

Am J Forensic Med Pathol. 1988 Mar;9(1):40-4. doi: 10.1097/00000433-198803000-00011.

Abstract

A light microscopic study performed on 760 human fetuses allows us to define several stages in their visceral development and to relate these to gestational age. The histological examination of most viscera, such as the central nervous system, is useless when the tissue preservation is poor. Nevertheless, three organs may still be studied in macerated fetuses: the lungs (where different glandular, canalar, and alveolar stages of development are evident), the kidneys (where the respective numbers of rows of primitive glomeruli and of generations of mature glomeruli vary after week 22), and the adrenal glands (where neuroblastic nests are normally found between weeks 7 and 26 of gestation). It is important to compare the degree of histological maturation with the clinical, macroscopic, and radiologic data in order to define the profile of maturation proper to each human fetus.

摘要

对760例人类胎儿进行的光镜研究,使我们能够确定其内脏发育的几个阶段,并将这些阶段与胎龄联系起来。当组织保存不佳时,对大多数内脏(如中枢神经系统)进行组织学检查是没有用的。然而,在浸软胎儿中仍可研究三个器官:肺(其不同的腺泡、小管和肺泡发育阶段明显)、肾脏(在22周后,原始肾小球的行数和成熟肾小球的代数各自不同)和肾上腺(在妊娠7至26周之间通常可发现神经母细胞巢)。将组织学成熟程度与临床、宏观和放射学数据进行比较,对于确定每个胎儿特有的成熟特征很重要。

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