Kizilcan F, Tanyel F C, Cakar N, Büyükpamukçu N, Hiçsönmez A
Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Am J Obstet Gynecol. 1995 Jul;173(1):36-41. doi: 10.1016/0002-9378(95)90166-3.
Our purpose was to examine fetal lung development in reduced intraamniotic pressure without amniotic fluid loss.
A circular portion of uterine wall measuring 1 cm in diameter was excised while the chorionic and amniotic membranes were left intact at the twenty-third day of gestation in New Zealand White rabbits. The chorionic and amniotic membranes herniated spontaneously through the defect.
Amniotic pressure was significantly reduced after herniation. Lung weight/body weight ratios at term were significantly reduced in experimental fetuses compared with controls. Residual amniotic fluid volumes at term did not differ. Histopathologic examination of lung specimens showed that fetal lungs had not matured in the experimental group as fully as in the control group.
This experimental study demonstrated that low amniotic pressure impaired fetal lung development, even without oligohydramnios.
我们的目的是在羊膜腔内压力降低且无羊水流失的情况下研究胎儿肺的发育情况。
在妊娠第23天,切除新西兰白兔子宫壁直径为1厘米的圆形部分,同时保留绒毛膜和羊膜完整。绒毛膜和羊膜通过缺损处自发突出。
突出后羊膜腔内压力显著降低。与对照组相比,实验组足月胎儿的肺重量/体重比显著降低。足月时的残余羊水量没有差异。肺标本的组织病理学检查显示,实验组胎儿肺的成熟程度不如对照组。
本实验研究表明,即使没有羊水过少,低羊膜腔内压力也会损害胎儿肺的发育。