胎盘病理检查197例临床分析  

Clinical pathological analysis of 197 placentas

作　　者：黄安翠 朱元方[2] 杨环[3] 

机构地区：[1]四川省攀枝花市第二人民医院妇产科,四川攀枝花617068 [2]重庆医科大学第二附属医院,重庆400010 [3]重庆医科大学公共卫生学院生殖生理教研室,重庆400016

出　　处：《现代医药卫生》2009年第17期2594-2595,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨高危妊娠与胎盘炎病理的关系。方法:对197例胎盘病理检查了解是否患有胎盘绒毛羊膜炎,低危妊娠组(对照组)为111例,高危妊娠组为86例。结果:高危妊娠组86例查出胎盘绒毛羊膜炎46例,其中胎儿窘迫19例,新生儿窒息10例,胎膜早破17例。对照组111例中查出胎盘绒毛羊膜炎40例,两组比较差异有显著性(P<0.05),胎膜早破的病因中主要是胎盘绒毛羊膜炎17例,缺氧4例。结论:胎盘绒毛羊膜炎与胎儿窘迫,新生儿窒息,胎膜早破等高危妊娠密切相关。胎膜早破主要是由于胎盘绒毛羊膜炎引起,另外缺氧也可能是原因之一。Objective ：To investigate the relationship between high risk pregnancy and placentas pathology.Methods：Pathological analysis was performed on 197 placentas to identify placental chorioamnionitis. There were 111 samples in high-risk pregnancy group and 86 samples in low-risk pregnancy group.Resets：46 samples were identified placental chorioamnionitis in high-risk pregnancy group in- eluding fetal distress （19 samples）,neonatal asphyxia （10 samples）, premature rupture of membrane（17 samples）.40 samples were identi- fied plancental chorioamnionifis in low-risk pregnancy group.The difference is significant （P〈0.05）.The etiological factors of premature rupture of membrane included placental chorioamnionitis （17 samples） and hypoxia （4 samples）.Conelusion：Plaeental chorioamnionitis is closely related with neonatal asphyxia,premature rupture of membrane and fetal distress.Premature rupture of membrane is caused mainly by placental ehorioamnionifis, and hypoxia might be one of the factors.

关 键 词：绒毛羊膜炎 胎膜早破 新生儿窒息 胎儿窘迫 

分 类 号：R36[医药卫生—病理学]