子痫前期胎盘:系统综述

Carmen Amelia Durán Verdesoto, Eduardo Carvalho de Arruga Veiga
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引用次数: 0

摘要

本研究的目的是进行一项系统性综述,以确定与未患子痫前期的孕妇胎盘相比,将患子痫前期的孕妇胎盘的解剖病理改变量更高。在方法上,本系统综述使用了关键词("子痫前期 "和 "胎盘"),并检索了四个数据库:SciELO、Lilacs、Google Scholar 和 Embase。结果发现,在已确定的 86 个登记处中,有 6 个符合条件。其他发现,由于其频率以及对母体和胎儿造成的不良后果,都是非常重要的:微观和宏观改变,首先是纤维蛋白过多,其次是大量合胞结,再次是大量合胞结。第三,心脏病发作。在胎盘的宏观改变方面,我们发现:低体重胎盘。最后,对进入SR的六篇文章进行了方法学确定性评估;这些文章的得分率大于70%,被归类为 "充分报道 "文章。总之,我们认为胎盘发生的解剖病理改变会导致胎盘功能失调、缺氧和缺血,从而引起 PE 以及孕产妇、胎儿和新生儿并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Placenta with Pre-Eclampsia: A Systematic Review
The objective of this study was to carry out a systematic review that the amount of anatomopathological alterations in placentas from women who would develop PE would be higher compared to placentas from pregnant women without preeclampsia. In methods, for this systematic review, the keywords (“preeclampsia” and “placenta”) were used, four databases were searched: SciELO, Lilacs, Google Scholar and Embase. In the results obtained, it is observed that, of the Of the 86 registries identified, 6 were eligible. Other findings that, due to their frequency and maternal and fetal adverse outcomes, are very important: microscopic and macroscopic alterations, firstly, excess fibrin, secondly, abundant syncytial knots and, secondly, abundant syncytial knots. Thirdly, heart attacks. Within the macroscopic alterations of the placenta we found: low-weight placentas and finally, the evaluation of the methodological certainty of the six articles that entered the SR; they reached a score of >70%, classifying them as “sufficiently reported” articles. In conclusion, we say that the anatomopathological alterations that occur in the placenta lead to a dysfunctional, hypoxic and ischemic placenta, causing PE and maternal, fetal and neonatal complications.
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