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慢性胎盘炎——一项临床病理学研究。

Chronic placentitis--a clinicopathological study.

作者信息

Rüschoff J, Böger A, Zwiens G

出版信息

Arch Gynecol. 1985;237(1):19-25. doi: 10.1007/BF02133947.

DOI:10.1007/BF02133947
PMID:4051582
Abstract

Between 1978 and 1983 1240 singleton placentas were examined macroscopically and histologically. In 82 cases (6.6%) a "chronic placentitis" was diagnosed. The pathognomonic inflammatory foci were localized within the placental villi. The vast majority showed mixtures of both fibrohistiocytes and lymphoid cells, which were occasionally interspersed with plasma-cells. The clinical data relating to 67 placentas were correlated retrospectively with the degree of inflammation. 46 showed mild and 21 moderate to severe chronic placentitis. In both of these groups the proportion of preterm deliveries and cases with preeclampsia was equally high. With increasing severity of chronic placentitis, however, there was a significant reduction in weight and size of both, placenta and infant, and the incidence of perinatal asphyxia was significantly raised.

摘要

1978年至1983年间,对1240例单胎胎盘进行了宏观和组织学检查。82例(6.6%)被诊断为“慢性胎盘炎”。特征性炎症灶位于胎盘绒毛内。绝大多数表现为纤维组织细胞和淋巴细胞混合存在,偶尔还散在有浆细胞。对67例胎盘的临床资料进行回顾性分析,并与炎症程度相关联。46例表现为轻度慢性胎盘炎,21例为中度至重度慢性胎盘炎。在这两组中,早产和子痫前期病例的比例同样高。然而,随着慢性胎盘炎严重程度的增加,胎盘和婴儿的重量及大小均显著降低,围产期窒息的发生率显著升高。

相似文献

1
Chronic placentitis--a clinicopathological study.慢性胎盘炎——一项临床病理学研究。
Arch Gynecol. 1985;237(1):19-25. doi: 10.1007/BF02133947.
2
[Chorionic epithelium in the resorption-villi of placentas of hypotrophic term-born infants. Morphology in chronic placental insufficiency].[低体重足月儿胎盘吸收绒毛中的绒毛膜上皮。慢性胎盘功能不全的形态学]
Zentralbl Gynakol. 1976;98(11):660-70.
3
Placental findings in late-onset SGA births without Doppler signs of placental insufficiency.无胎盘灌注不良多普勒征象的晚期出生小于胎龄儿的胎盘表现。
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4
[Placental pathology of the small-for-gestational-age newborn infant].[小于胎龄新生儿的胎盘病理学]
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5
Intrauterine growth restriction in infants of less than thirty-two weeks' gestation: associated placental pathologic features.孕32周以下婴儿的宫内生长受限:相关胎盘病理特征
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[Early and late onset severe preeclampsia: a clinicopathologic study of 178 placentas].[早发型和晚发型重度子痫前期:178例胎盘的临床病理研究]
Zhonghua Bing Li Xue Za Zhi. 2015 Dec;44(12):879-83.
7
[Placental insufficiency].[胎盘功能不全]
Med Welt. 1982 Jul 16;33(28):1024-6.
8
[The placenta of the hypotrophic infant].[发育迟缓婴儿的胎盘]
Arch Anat Cytol Pathol. 1983;31(3):175-81.
9
Placental volume at 11 to 14 gestational weeks in pregnancies complicated with fetal growth restriction and preeclampsia.妊娠 11 至 14 周时胎盘体积与胎儿生长受限及子痫前期的关系。
Prenat Diagn. 2018 Nov;38(12):928-935. doi: 10.1002/pd.5356. Epub 2018 Sep 26.
10
[The correlation of reduced amniotic fluid volume, placental maturity and morphologic placental changes in placental insufficiency].[羊水过少、胎盘成熟度与胎盘功能不全时胎盘形态学改变的相关性]
Zentralbl Gynakol. 1989;111(13):891-6.

本文引用的文献

1
Inflammatory lesions of the human placenta. III. The histopathology of villitis of unknown aetiology.人类胎盘的炎性病变。III. 病因不明的绒毛炎的组织病理学
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2
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人类细菌、真菌和病毒感染中胎盘、胎膜及脐带的病理学
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5
[Recurrent placental insufficiency due to villous placentitis with extreme growth retardation (birth weights 1030 g. and 1000 g. at term)].[绒毛膜羊膜炎导致复发性胎盘功能不全伴极度生长受限(足月出生体重分别为1030克和1000克)]
Geburtshilfe Frauenheilkd. 1972 Sep;32(9):795-801.
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Comparison of placentas from two socioeconomic groups. I. Morphometry.两个社会经济群体胎盘的比较。I. 形态测量学
Pediatrics. 1972 Jul;50(1):24-32.
7
The role of the placenta in fetal and perinatal pathology. Highlights of an eight months' study.
Am J Obstet Gynecol. 1972 Jul 1;113(5):616-26. doi: 10.1016/0002-9378(72)90630-8.
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The placenta and low birth weight.胎盘与低出生体重。
Curr Top Pathol. 1979;66:1-55. doi: 10.1007/978-3-642-67205-7_1.
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Genital mycoplasma infection. Intrauterine infection: pathologic study of the fetus and placenta.生殖道支原体感染。宫内感染:胎儿及胎盘的病理学研究。
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