胎盘损伤基本模式的临床病理相关性和相互依赖性
1Division of Pathology, Cincinnati Children's Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229-3025, USA. stanekjw@gmail.com.
Virchows Archiv : an international journal of pathology
|March 29, 2025
概括
多重胎盘病变,在高风险怀孕中很常见,显著影响结果. 远端小胎儿血管输血和急性炎症是关键指标,特别是在分别早产和满期怀孕.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 病理学 病理学 病理学
背景情况:
- 胎盘病变很少单独发生;多重性与较差的妊娠结果有关.
- 对于同时发生的胎盘损伤模式和妊娠年龄的相互作用的了解有限.
研究的目的:
- 调查高风险怀孕中各种胎盘损伤模式之间的关系,考虑到妊娠年龄.
- 分析胎盘表型与临床条件之间的关联.
主要方法:
- 对2486个高风险怀孕的回顾性观察分析.
- 在6种胎盘损伤模式中对23种临床和48种胎盘表型进行统计比较.
- E-cadherin/CD34 免疫染用于诊断最近的胎儿血管阻 perfusion.
主要成果:
- 在胎盘损伤模式中观察到显著的重叠.
- 远端小胎儿血管输血和急性炎症与异常临床状况的关联最强.
- 与早产期临床状况相关的急性炎症;与早产期状况相关的远端小胎儿血管阻 perfusion.
- 孕产妇血管缺血与急性炎症和远端小胎儿血管缺血相结合,最好与第三季度中期的其他胎盘表型相关.
结论:
- 通过免疫染色来诊断的胎儿血管阻塞是最常见的胎盘损伤.
- 特定的胎盘损伤模式与临床条件和其他胎盘病变有显著的关联,根据妊娠年龄而异.
相关概念视频
Teratogenicity
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Formation of the Platelet Plug
The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
Fetal Circulation
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Malaria
Malaria pathogenesis in humans reflects a delicate interplay between parasite biology and host response. Clinical illness reflects a host’s immune response to the parasite’s asexual replication cycle, which is often asymptomatic in individuals with partial immunity. From the parasite's perspective, transmission between mosquito and human with minimal host pathology is evolutionarily advantageous. Among the six Plasmodium species infecting humans, P. falciparum and P. vivax dominate in global...
Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Spinal Cord Injury ll: Pathophysiology
Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...


