107例胎膜早破胎盘的病理检查结果分析

Analysis of placenta pathological examination results in 107 cases of premature rupture of membranes

目的了解胎膜早破胎盘的病理变化,探讨胎膜早破发病机制。方法选取本院收治的107例胎膜早破孕妇作为研究组,另选取同期收治的107例正常孕妇作为对照组,常规HE染色观察两组孕妇胎盘形态学变化。结果观察组孕妇胎膜炎、绒毛膜炎、脐血管炎、绒毛间质纤维化以及胎盘梗死发生率显著高于对照组孕妇,组间差异有统计学意义(P<0.05)。结论胎膜早破胎盘病理改变多以感染为主,胎膜早破常规送胎盘病理检查对母婴宫内感染的诊断和治疗尤为重要。

Objective To investigate the placenta pathological changes of premature rupture of mem-branes,and etiology of premature rupture of membranes. Methods 107 pregnant women of premature rupture of membranes in our hospital were selected as observation group,107 normal pregnant women were selected as control group,observed the changes of placental morphology in two groups with routine HE staining. Results Pregnant membranitis,chorioamnionitis,umbilical vasculitis,villous interstitial fibrosis and placental infarction of cases in observation group were significantly higher than those in control group,there was significant differ-ence between two groups （P〈0.05） . Conclusion Placenta pathological change of preterm rupture of mem-branes mainly to infection,send placental pathology examination is very important to the diagnosis and treatment of intrauterine infection in premature rupture of membranes.