COVID-19对妊娠期间胎盘组织病理学的影响

Anak Agung Ngurah, Jaya Kusuma, Article Info
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引用次数: 0

摘要

2019冠状病毒病(COVID-19)仍被列为世界大流行。这种疾病可以影响人体的许多系统。由于COVID-19可导致高发病率和死亡率,孕妇被列为弱势群体。血管紧张素转换酶-2 (ACE-2)作为COVID-19受体,这种受体也存在于胎盘中。胎盘在胎儿中起着重要的作用,尤其是保护胎儿免受有害环境的影响。由于只有少数研究可获得,COVID-19对妊娠期胎盘的影响需要进一步讨论。感染sars - cov -2的孕妇胎盘出现组织病理学改变。在合胞滋养细胞和绒毛膜绒毛血管内皮细胞上检测到病毒颗粒。一些研究表明,在SARS-CoV-2阳性感染中,炎症状况并不突出。这可能是由于胎盘的免疫反应,起着重要作用。SARS-CoV-2疾病往往会导致胎盘组织内的异常。胎儿血管灌注不良(FVM)和母体血管灌注不良(MVM)是研究中最常见的发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of COVID-19 on the histopathological aspect of the placenta during pregnancy
The coronavirus disease 2019 (COVID-19) is still classified as a world pandemic. This disease can affect numerous systems of the human body. Pregnant women are classified as a vulnerable group since COVID-19 can cause high morbidity and mortality. Angiotensin-converting enzyme-2 (ACE-2) acts as a COVID-19 receptor, and this receptor is also present in the placenta. The placenta plays a significant part in the fetus, especially protecting it from harmful conditions. Since only a few studies are available, COVID-19’s influence on the placenta in pregnancy needs to be discussed further. The SARS-CoV-2-infected pregnant woman’s placenta showed histopathological alterations. Viral particles were detected on syncytiotrophoblast and chorionic villi vascular endothelial cells. Some studies show inflammatory conditions are not prominent in SARS-CoV-2 positive infection. This, perhaps due to the placenta’s immunological reaction, plays a significant role. The SARS-CoV-2 disorder tends to cause abnormalities within the placental tissue. Fetal vascular malperfusion (FVM) and maternal vascular malperfusion (MVM) are the most frequent findings from the studies included.
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