Rushton D I
J Clin Pathol. 1981 Aug;34(8):819-35. doi: 10.1136/jcp.34.8.819.
The incidence, aetiology, and mechanisms of spontaneous abortion are outlined. A simplified classification of products of conception specifically orientated for routine histopathological laboratories rather than research centres is presented. Its introduction should not in itself greatly increase the work load of a service laboratory already examining such material. Specific practical problems are discussed and these are related to the clinical situation. The importance is emphasised of proper examination of tissues from pregnancies aborting after diagnostic amniocentesis, as well as those from therapeutic terminations performed for fetal abnormality or disease. Special techniques are suggested for processing suspected procured abortions. Finally the value is stressed of routine examination of spontaneously aborted material in the current and future management of the patient, in the furtherance of our knowledge of fetal diseases and of some of the major contributory factors to perinatal morbidity and mortality.
本文概述了自然流产的发病率、病因及机制。提出了一种专门为常规组织病理学实验室而非研究中心设计的简化的妊娠产物分类方法。引入该分类方法本身不应大幅增加已经在检查此类材料的服务实验室的工作量。讨论了具体的实际问题,并将这些问题与临床情况相关联。强调了对诊断性羊膜穿刺术后流产的妊娠组织以及因胎儿异常或疾病而进行治疗性终止妊娠的组织进行妥善检查的重要性。建议采用特殊技术处理疑似人工流产的组织。最后强调了对自然流产材料进行常规检查在当前和未来患者管理中的价值,有助于我们了解胎儿疾病以及一些导致围产期发病率和死亡率的主要因素。