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巨大胎盘绒毛膜血管瘤的不同临床病程。3例报告。

Varying clinical course of large placental chorioangiomas. Report of 3 cases.

作者信息

Zoppini C, Acaia B, Lucci G, Pugni L, Tassis B, Nicolini U

机构信息

1st Department of Obstetrics and Gynecology, University of Milan, Italy.

出版信息

Fetal Diagn Ther. 1997 Jan-Feb;12(1):61-4. doi: 10.1159/000264430.

DOI:10.1159/000264430
PMID:9101227
Abstract

Three cases of placental chorioangiomas, from 6.5 to 10 cm in diameter, were diagnosed prenatally by ultrasound and color Doppler imaging at 21-34 weeks of gestation. In 1 case, due to fetal hydrops and maternal 'mirror syndrome', immediate delivery of a neonate, who was severely anemic, thrombocytopenic and had consumption coagulopathy, was required. In the other 2 pregnancies, conservative management was possible, once fetal cardiac failure and anemia were ruled out by the combination of fetal blood sampling and serial echographic and Doppler investigations.

摘要

三例胎盘绒毛膜血管瘤,直径6.5至10厘米,在妊娠21至34周时通过超声和彩色多普勒成像进行产前诊断。其中1例,由于胎儿水肿和母体“镜像综合征”,需要立即分娩一名严重贫血、血小板减少且患有消耗性凝血病的新生儿。在另外2例妊娠中,一旦通过胎儿血液采样以及系列超声心动图和多普勒检查排除胎儿心力衰竭和贫血,就可以进行保守治疗。

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引用本文的文献

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Placental chorioangioma with an emphasis on rare giant placental chorioangioma and associated maternal and perinatal outcome: Clinicopathological study in a single centre.胎盘绒毛膜血管瘤,重点关注罕见的巨大胎盘绒毛膜血管瘤及其相关的母体和围产期结局:单中心临床病理研究
J Family Med Prim Care. 2022 Sep;11(9):5116-5122. doi: 10.4103/jfmpc.jfmpc_1708_21. Epub 2022 Oct 14.
2
Prenatal management and perinatal outcome in giant placental chorioangioma complicated with hydrops fetalis, fetal anemia and maternal mirror syndrome.巨大胎盘绒毛膜血管瘤合并胎儿水肿、胎儿贫血和母体镜像综合征的产前管理及围产结局。
BMC Pregnancy Childbirth. 2012 Jul 28;12:72. doi: 10.1186/1471-2393-12-72.
3
Antenatal embolization of a large placental chorioangioma: a case report.
产前栓塞治疗巨大胎盘绒毛膜血管瘤:一例报告
J Med Case Rep. 2012 Jul 3;6:183. doi: 10.1186/1752-1947-6-183.