感染COVID-19的孕妇的胎盘变化
Solomiia Kramar1, Zoia Nebesna1, Yuliia Yakymchuk2
1Department of Histology and Embryology, I. Horbachevsky Ternopil National Medical University, 46001 Ternopil, Ukraine.
International journal of molecular sciences
|September 13, 2025
概括
怀孕妇女的SARS-CoV-2感染会导致胎盘损伤,包括血栓形成和,可能会影响怀孕的结果. 这些发现强调了在COVID-19期间监测胎儿健康的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 病理学 病理学 病理学
- 病毒学 病毒学
背景情况:
- 感染SARS-CoV-2对孕妇构成风险,可能导致妊娠并发症.
- 了解胎盘病理对于在怀孕期间管理COVID-19至关重要.
研究的目的:
- 为了调查 SARS-CoV-2 感染的孕妇的胎盘病理变化的频谱.
- 为了将胎盘发现与感染的三个月相关联.
主要方法:
- 组织病理学,电子显微镜和免疫组织化学被用来检查50名患有COVID-19的孕妇的胎盘组织.
- 根据感染的三个月 (第一,第二和第三个) 患者被分为三组.
主要成果:
- 感染SARS-CoV-2引发了非特异性的胎盘变化,主要与血液循环受损有关,包括血栓症,胆管病,小性,纤维状.
- 内皮功能障碍显而易见,增加了硬质素和附件A2.2的表达.
- 胎盘缺陷显示了小层结构的破坏性变化,破坏了胎盘屏障,主要发生在母胎盘的变化.
结论:
- SARS-CoV-2 感染导致血栓性和硬化性胎盘变化,严重程度取决于感染的三个月.
- 这些胎盘变化可能解释COVID-19受影响的怀孕中不良的产前和产周结果.
- 这些发现强调了评估 SARS-CoV-2 孕妇胎盘健康的重要性.
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