26例经组织学证实的胎盘绒毛膜血管瘤患者的临床分析
Clinical analysis of 26 patients with histologically proven placental chorioangiomas.
作者信息
Wu Zaigui, Hu Wensheng
机构信息
Zhejiang University, School of Medicine, Women's Hospital, Department of Obstetrics and Gynecology, 1 Xueshi Road, Hangzhou 310006, Zhejiang, PR China.
Zhejiang University, School of Medicine, Women's Hospital, Department of Obstetrics and Gynecology, 1 Xueshi Road, Hangzhou 310006, Zhejiang, PR China.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2016 Apr;199:156-63. doi: 10.1016/j.ejogrb.2015.12.009. Epub 2015 Dec 30.
OBJECTIVES
The purpose of this study was to evaluate the clinical characteristics, imaging features, pregnancy complications, prenatal management of patients with placenta chorioangioma.
METHODS
This was a retrospective study of 26 cases with histologically proven placenta chorioangima, in which the natural history, pregnancy complications, and clinical characteristics including ultrasonography were evaluated.
RESULTS
Twelve of the twenty-six cases had a wide range of maternal-fetal complications including polyhydramnios (7), fetal growth restriction (3), fetal distress (2), pre-eclampsia (3), fetal anemia-thrombocytopenia (2), congestive heart failure (1) and fetal abnormality (1).
CONCLUSIONS
Placenta chorioangioma was associated with series of pregnancy complications such as polyhytramnios, premature delivery, maternal pre-eclampsia, fetal growth restriction, fetal distress, even fetal anemia and cardiomegaly. With regular prenatal examination, necessary treatment, and timely delivery, the majority had a good pregnancy outcome.
目的
本研究旨在评估胎盘绒毛膜血管瘤患者的临床特征、影像学特征、妊娠并发症及产前管理情况。
方法
这是一项对26例经组织学证实为胎盘绒毛膜血管瘤病例的回顾性研究，评估其自然病史、妊娠并发症及包括超声检查在内的临床特征。
结果
26例病例中有12例出现了一系列母胎并发症，包括羊水过多（7例）、胎儿生长受限（3例）、胎儿窘迫（2例）、子痫前期（3例）、胎儿贫血 - 血小板减少（2例）、充血性心力衰竭（1例）及胎儿畸形（1例）。
结论
胎盘绒毛膜血管瘤与一系列妊娠并发症相关，如羊水过多、早产、母体子痫前期、胎儿生长受限、胎儿窘迫，甚至胎儿贫血和心脏肥大。通过定期产前检查、必要的治疗及适时分娩，大多数患者妊娠结局良好。
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