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成功期待治疗巨大绒毛膜血管瘤。

Successful expectant management of a giant chorioangioma.

机构信息

Department of O&G, Basildon University Hospital, Mid and South Essex NHS Foundation Trust, Basildon, Essex, UK

出版信息

BMJ Case Rep. 2021 Mar 15;14(3):e239928. doi: 10.1136/bcr-2020-239928.

Abstract

Giant chorioangiomas are benign placental tumours, which can have potential severe fetal consequences. Complications in pregnancy include polyhydramnios, fetal hydrops and growth restriction. Such pregnancies can carry a significant risk of poor perinatal outcome and require close monitoring. Therapeutic options include fetoscopic or interstitial vessel ablation, chemosclerosis and embolisation. Where there is no evidence of fetal compromise, such pregnancies can successfully be managed conservatively.

摘要

巨大绒毛膜血管瘤是良性胎盘肿瘤,可能对胎儿有严重影响。妊娠并发症包括羊水过多、胎儿水肿和生长受限。此类妊娠围产期结局较差风险显著,需要密切监测。治疗选择包括胎儿镜或间质血管消融、化学硬化和栓塞。如果没有胎儿受损的证据,可以成功地进行保守治疗。

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