Scott J N, Pendergrass P B
Anat Embryol (Berl). 1981;162(4):435-41. doi: 10.1007/BF00301869.
Placentas either in situ or mechanically separated from their uterine beds were surveyed by scanning electron microscopy to determine the changing relationship of the placenta to its uterine bed with special reference to alteration in the decidual basalis accompanying parturition. At 13 days gestation the placenta is connected to the uterus by a short, broad decidual stalk which becomes longer and more constricted by term. The stalk is covered by a layer of squamous epithelium. Mechanical separation of the placenta and uterus in early gestation reveals that the entire decidual basalis of the decidual stalk is composed of large coarse fibers. As gestation progresses, a relatively smooth acellular capsule forms around the base of the placenta. However, the center of the decidua basalis, the core of the stalk, continues to be composed of large coarse fibers throughout gestation and appears to be the only region penetrated by maternal vessels.
通过扫描电子显微镜对原位胎盘或从子宫床机械分离的胎盘进行检查,以确定胎盘与其子宫床之间不断变化的关系,特别关注伴随分娩的基底蜕膜的变化。妊娠13天时,胎盘通过短而宽的蜕膜柄与子宫相连,到足月时蜕膜柄会变长且更狭窄。蜕膜柄被一层鳞状上皮覆盖。妊娠早期胎盘与子宫的机械分离显示,蜕膜柄的整个基底蜕膜由粗大的纤维组成。随着妊娠进展,胎盘底部周围形成相对光滑的无细胞被膜。然而,基底蜕膜的中心,即蜕膜柄的核心,在整个妊娠期间一直由粗大的纤维组成,似乎是母体血管唯一穿透的区域。