Stoz F, Schuhmann R A, Noack E J
Z Geburtshilfe Perinatol. 1982 Apr-May;186(2):72-5.
Morphometric data of 19 placenta after EPH-gestosis of pregnancy are compared with data of placenta of uncomplicated pregnancies. No statistically significant differences were found concerning the area of attachment of the placentas, the amount of fibrin deposits in the intervillous space and the amount of syncytial knots of the terminal villi. The areas of the cross section as well as the circumferences of the resorption villi were increased in the placentas of pre-eclampsia of pregnancy. The number of capillaries per villus was the same in both groups. The diameters of the vessels however were smaller in the gestosis group. Also a decrease of the degree of vascularisation of the villi was found. The number and length of epithelial plates and their quota of the circumference of the villi were markedly diminished in the EPH-gestosis group. These morphologic findings are signs of retarded maturation (differentiation) of the resorption villi. The results explain the ineffectiveness of therapeutic attempts in many cases of pre-eclampsia.
将19例妊娠子痫前期胎盘的形态学数据与正常妊娠胎盘的数据进行比较。在胎盘附着面积、绒毛间隙纤维蛋白沉积量以及终末绒毛合体结节数量方面,未发现统计学上的显著差异。妊娠子痫前期胎盘的吸收绒毛横截面积和周长增加。两组每根绒毛的毛细血管数量相同。然而,子痫前期组血管直径较小。此外,还发现绒毛血管化程度降低。子痫前期组上皮板的数量和长度及其占绒毛周长的比例明显减少。这些形态学发现是吸收绒毛成熟(分化)延迟的迹象。这些结果解释了在许多子痫前期病例中治疗尝试无效的原因。