脐带穿刺术采血后的胎盘病理研究  

Pathological Study of Placenta with Cordocentesis

作　　者：张顺利[1] 戴旻笙[2] 许复郁[1] 张庆慧[1] 付庆诏[2] 陈菊芳[2] 

机构地区：[1]山东医科大学附属医院病理科,250012 [2]山东医科大学附属医院妇产科

出　　处：《中华围产医学杂志》1998年第2期80-82,共3页Chinese Journal of Perinatal Medicine

摘　　要：目的探讨脐带穿刺术采血后的胎盘病理变化特点。方法对40例脐带穿刺术采血后胎盘及附属物进行病理观察。结果 8例脐带穿刺部位及(或)绒毛膜板下有小灶性出血,2例有脐静脉内局灶性血栓形成。但均无临床重要意义。23例有不同程度的绒毛膜羊膜炎及脐带炎,与对照组相比无显著性差异(P>0.05)。推测为脐带穿刺术后利凡诺尔引产所致的非特异性炎症反应。结论脐带穿刺术采血应用于临床是安全可行的。Objectives To investgate the pathologic changes in the placenta after cordocentesis. Methods Forty placentae were studied by pathological methods. Results Focal hemorrhage in the point of puncture and /or the subchorionic plates wet observed in 8 cases,focal thrombosis of the cord vein were found in 2 cases ,but no clinical significance of these findings was proved. Twenty one cases showed chorioamnionitis in various degree. Compared with the control group,no statistical significance was found(P>0.05). It was a non-specific reaction to the rivanol. Conclutions The results indicate that cordocentesis is saft and reliable in clinical practice.

关 键 词：胎盘 病理学 脐带穿刺术 

分 类 号：R361.2[医药卫生—病理学]