Geppert M, Bachmann F F
Zentralbl Gynakol. 1984;106(21):1397-405.
Clinical and pathologic-anatomic criteria were compared in 233 cases of chorangiomas from literature (7 own observations among them). Concerning parity and age of the patients there were no peculiarities. Hemorrhages before, during and after birth could be observed more frequently. Operations like caesarean section, forceps and manual removal of placenta have not been carried out more than in a normal frequency. In chorangiomas there were more gemini and more female fetuses. An explanation of these phenomena cannot be given. The same can be applied to the accumulation of gestoses and hydramnios, especially in large chorangiomas. A histologic examination of the placentas is proposed in complicated pregnancies, especially in gestoses and hydramnios. Only in this way it may be possible to detect microscopically small chorangiomas connections with the complications of pregnancy listed above.
对文献中233例绒毛膜血管瘤病例(其中包括7例自身观察病例)的临床及病理解剖学标准进行了比较。在患者的产次和年龄方面没有特殊情况。出生前、出生时及出生后出血的情况较为常见。剖宫产、产钳助产及人工剥离胎盘等操作的实施频率并未高于正常情况。绒毛膜血管瘤中双胎及女胎较多。这些现象的原因尚无法解释。妊娠期高血压疾病和羊水过多的情况也较多,尤其是在较大的绒毛膜血管瘤中。建议对复杂妊娠,尤其是妊娠期高血压疾病和羊水过多的情况进行胎盘组织学检查。只有这样,才有可能在显微镜下检测到与上述妊娠并发症相关的微小绒毛膜血管瘤联系。