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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.

DOI:10.1136/bcr-2020-239928
PMID:33722913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7959226/
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。

相似文献

1
Successful expectant management of a giant chorioangioma.成功期待治疗巨大绒毛膜血管瘤。
BMJ Case Rep. 2021 Mar 15;14(3):e239928. doi: 10.1136/bcr-2020-239928.
2
Giant placental chorioangioma: natural history and pregnancy outcome.巨大胎盘绒毛膜血管瘤:自然史与妊娠结局。
Ultrasound Obstet Gynecol. 2010 Mar;35(3):332-6. doi: 10.1002/uog.7451.
3
Alcohol injection for the intrauterine treatment of chorioangioma in a pregnancy with transfusion resistant fetal anemia: a case report.酒精注射用于宫内治疗输血抵抗性胎儿贫血妊娠中的绒毛膜血管瘤:一例报告
Fetal Diagn Ther. 2007;22(3):203-5. doi: 10.1159/000098718. Epub 2007 Jan 17.
4
Perinatal outcome of pregnancies complicated by placental chorioangioma: systematic review and meta-analysis.合并胎盘绒毛膜血管瘤的妊娠的围产期结局:系统评价和荟萃分析
Ultrasound Obstet Gynecol. 2020 Apr;55(4):441-449. doi: 10.1002/uog.20304.
5
Management of large placental chorioangioma: two-port laser approach for fetal intervention.大胎盘绒毛膜血管瘤的处理:胎儿介入的两孔激光方法。
Ultrasound Obstet Gynecol. 2023 Dec;62(6):882-890. doi: 10.1002/uog.26307.
6
Prenatal three dimensional ultrasonography and expectant management of placental chorioangioma: a case report.产前三维超声检查与胎盘绒毛膜血管瘤的期待管理:病例报告
J Med Assoc Thai. 2013 Apr;96(4):496-500.
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Giant chorioangioma treated in utero via laser of feeding vessels with subsequent development of multifocal infantile hemangiomas.通过激光治疗供血血管对子宫内巨大绒毛膜血管瘤进行治疗,随后出现多灶性婴儿血管瘤。
Fetal Pediatr Pathol. 2015 Feb;34(1):1-8. doi: 10.3109/15513815.2014.925018. Epub 2014 Jun 18.
8
Placental chorioangioma: literature review.胎盘绒毛膜血管瘤:文献综述
J Perinat Med. 2014 May;42(3):273-9. doi: 10.1515/jpm-2013-0170.
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A giant symptomatic placental chorioangioma managed with a histoacryl injection.超声引导下 HISTOACRYL 胶注射治疗巨大症状性胎盘绒毛膜血管瘤
J Ultrasound. 2021 Dec;24(4):561-565. doi: 10.1007/s40477-020-00470-x. Epub 2020 May 5.
10
Placental chorioangioma associated with polyhydramnios and hydrops fetalis.胎盘绒毛膜血管瘤合并羊水过多及胎儿水肿。
BMJ Case Rep. 2019 Jan 29;12(1):e227828. doi: 10.1136/bcr-2018-227828.

本文引用的文献

1
Perinatal outcome of pregnancies complicated by placental chorioangioma: systematic review and meta-analysis.合并胎盘绒毛膜血管瘤的妊娠的围产期结局:系统评价和荟萃分析
Ultrasound Obstet Gynecol. 2020 Apr;55(4):441-449. doi: 10.1002/uog.20304.
2
Successful Management of Giant Placental Chorangioma by Microcoil Embolization.微线圈栓塞术成功治疗巨大胎盘绒毛膜血管瘤
AJP Rep. 2018 Oct;8(4):e230-e233. doi: 10.1055/s-0038-1669944. Epub 2018 Oct 15.
3
Giant chorioangioma treated with interstitial laser coagulation.经间质激光凝固治疗的巨大绒毛膜血管瘤。
Ultrasound Obstet Gynecol. 2018 Aug;52(2):280-281. doi: 10.1002/uog.18941. Epub 2018 Jul 4.
4
Clinical analysis of 26 patients with histologically proven placental chorioangiomas.26例经组织学证实的胎盘绒毛膜血管瘤患者的临床分析
Eur J Obstet Gynecol Reprod Biol. 2016 Apr;199:156-63. doi: 10.1016/j.ejogrb.2015.12.009. Epub 2015 Dec 30.
5
Ultrasound-Guided Percutaneous Embolisation of Placental Chorioangioma Using Cyanoacrylate.超声引导下使用氰基丙烯酸酯对胎盘绒毛膜血管瘤进行经皮栓塞术
Fetal Diagn Ther. 2017;41(1):76-79. doi: 10.1159/000442586. Epub 2016 Jan 5.
6
Prenatal Therapy of Large Placental Chorioangiomas: Case Report and Review of the Literature.大型胎盘绒毛膜血管瘤的产前治疗:病例报告及文献综述
AJP Rep. 2015 Oct;5(2):e196-202. doi: 10.1055/s-0035-1558829. Epub 2015 Aug 3.
7
Propranolol during pregnancy for large chorioangioma.孕期使用普萘洛尔治疗巨大绒毛膜血管瘤。
Med Hypotheses. 2015 Oct;85(4):513-4. doi: 10.1016/j.mehy.2015.06.032. Epub 2015 Jul 4.
8
Placental chorioangioma.胎盘绒毛膜血管瘤
J Obstet Gynaecol Can. 2014 Mar;36(3):201. doi: 10.1016/S1701-2163(15)30623-X.
9
Placenta chorioangioma: a rare case and systematic review of literature.胎盘绒毛膜血管瘤:1例罕见病例及文献系统综述
J Matern Fetal Neonatal Med. 2014 Jul;27(10):1055-63. doi: 10.3109/14767058.2013.847424. Epub 2013 Oct 17.
10
Chorioangioma of placenta: a rare placental cause for adverse fetal outcome.胎盘绒毛膜血管瘤:一种导致不良胎儿结局的罕见胎盘病因。
Case Rep Obstet Gynecol. 2012;2012:913878. doi: 10.1155/2012/913878. Epub 2012 Jun 13.