【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。
Pathological Study of Placenta with Cordocentesis Zhang Shunli,Dai Mingsheng,Xu Fuyu,et al.The First Hospital of Shandong Medical University Jinan,250012
【Abstract】 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 wer 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.
【Key words】 Placenta Pathology Cordocentesis
在B超监测下，经母腹壁穿刺脐血管抽取胎儿血(简称脐带穿刺采血)是八十年代问世的新技术［1］。目前，国内外开展应用逐渐增多，已显示出在优生方面的重大临床价值与社会效益。有关脐带穿刺采血术后的胎盘病理研究迄今未见报道，我院自1989年7月起开展了此项技术，对其中40例胎盘进行病理观察，现报道如下。
资料和方法
