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巨大产时淋巴管瘤的子宫外产时治疗(EXIT)及其处理困境——病例报告

Ex Utero Intrapartum Treatment (Exit) of Gigantic Intrapartum Lymphangioma and Its Management Dilemma - A Case Report.

作者信息

Lo Ren Hui, Mohd Nik Khairani Nik, Abdullah Khairudin, Aziz Azliana, Mohamad Irfan

机构信息

Hospital Sultanah Nur Zahirah, Department of Otorhinolaryngology, Kuala Terengganu, Terengganu, Malaysia.

Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Kota Bharu, Kelantan, Malaysia.

出版信息

Medeni Med J. 2020;35(2):161-165. doi: 10.5222/MMJ.2020.06992. Epub 2020 Jun 30.

Abstract

With the advancement of radiological investigation, intrapartum detection of fetal abnormalities is now precisely performed. Lymphangiomas are now diagnosed even before patient is born. The swelling may be gigantic and potentially life-threatening during the delivery. Nowadays, it is still a great challenge to doctors as how to deliver the baby together with the big neck mass. We present a case of huge intrapartum neck lymphangioma, for which we performed ex-utero intrapartum treatment (EXIT) procedure, followed by excision of the lesion later. The challenges on managing both mother and infant will be discussed.

摘要

随着放射学检查技术的进步,现在可以精确地在分娩期间检测出胎儿异常。淋巴管瘤甚至在患儿出生前就能被诊断出来。这种肿物在分娩时可能非常巨大,甚至有潜在的生命危险。如今,对于医生来说,如何带着巨大的颈部肿物接生仍然是一个巨大的挑战。我们报告一例巨大的产时颈部淋巴管瘤病例,对此我们实施了子宫外产时处理(EXIT)手术,随后切除了病变。我们将讨论在处理母婴问题上所面临的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71c1/7384513/a653e6ef9a3d/MEDJ-35-161-f1.jpg

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