Muramatsu Keiko, Itoh Hiroaki, Yamasaki Tomoko, Nakamura Yuki, Kobayashi Yukiko, Hirai Kyuya, Suzuki Kazunao, Sugihara Kazuhiro, Sugimura Motoi, Kanayama Naohiro
Department of Obstetrics and Gynecology, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu, Japan.
J Obstet Gynaecol Res. 2010 Feb;36(1):165-9. doi: 10.1111/j.1447-0756.2009.01104.x.
Placental lakes are sonolucent or hypoechoic areas in images of the placenta, usually considered a physiological dilation of intervillous space with a rather good obstetrical outcome. However, diagnostic criteria for and the clinical significance of placental lakes are yet to be completely established, because of a wide variety of ultrasound findings, especially on color Doppler examination. We experienced a case of a huge placental lake, larger than the total placental area, located in an entire retroplacental space, concomitant with several penetrations of artery type blood flow. The antenatal differential diagnosis and course of clinical management are reported.
胎盘血池是胎盘超声图像中的无回声或低回声区，通常被认为是绒毛间隙的生理性扩张，产科结局较好。然而，由于超声检查结果存在广泛差异，尤其是彩色多普勒检查，胎盘血池的诊断标准和临床意义尚未完全确立。我们遇到一例巨大胎盘血池病例，其面积大于整个胎盘面积，位于整个胎盘后间隙，并伴有动脉型血流的多次穿入。本文报告了该病例的产前鉴别诊断及临床处理过程。
