Wright Robert G, Macindoe Christopher, Green Patricia
Acad Forensic Pathol. 2019 Mar;9(1-2):2-14. doi: 10.1177/1925362119851113. Epub 2019 Sep 6.
Pathologists are faced with a variety of problems when considering placental tissue in cases of stillbirth. It is recognized that there are changes which occur following fetal demise and which can complicate the assessment and may coexist with other morphological changes. It is recognized that up to 25% of stillbirths may have a recognizable abnormality causing fetal demise. A systematic review of placental tissue allows many of these disorders to be identified. This review considers macroscopic and microscopic features of placental pathology in stillbirth together with clinicopathological correlation. Stillbirth definitions, general aspects of macroscopic assessment of placentas, placental changes after fetal demise, and some recognizable causes of fetal demise are considered.
在考虑死产病例中的胎盘组织时,病理学家面临着各种各样的问题。人们认识到,胎儿死亡后会发生一些变化,这些变化会使评估变得复杂,并且可能与其他形态学变化同时存在。人们认识到,高达25%的死产可能存在可识别的导致胎儿死亡的异常情况。对胎盘组织进行系统检查可以识别出许多此类病症。本综述探讨了死产中胎盘病理学的宏观和微观特征以及临床病理相关性。文中还考虑了死产的定义、胎盘宏观评估的一般方面、胎儿死亡后的胎盘变化以及一些可识别的胎儿死亡原因。