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Clinical characteristics and pathologic study of placental chorioangioma
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OBSTETRICS AND GYNECOLOGY
- Issue:
- 4
- DOI:
- 10.3760/j.issn:0529-567X.2004.04.004
- Key Word:
- 胎盘;血管瘤;分娩,早产;死胎;羊水过多;窒息,新生儿
Abstract： 目的探讨胎盘血管瘤的临床特点及病理大体观特征.方法对我院收治的12例胎盘血管瘤患者的临床资料作回顾性分析.结果 (1)在12例病理诊断为胎盘血管瘤的患者中,5例临床诊断为胎盘血管瘤;2例临床误诊为胎盘早剥血肿;1例误诊为脂肪瘤;1例误诊为胎盘囊肿;3例分娩后漏诊,直至胎盘病理检查时发现而诊断.4例产前曾行彩色多普勒超声检查,2例获得诊断,2例漏诊.(2)12例患者中,3例发生早产,其中2例并发羊水过多;2例并发妊娠高血压综合征;2例死胎;1例胎儿畸形.新生儿3例苍白窒息,1例青紫窒息.(3)胎盘病理大体观检查,肿瘤大小2 cm×2 cm×2 cm至11 cm×8 cm×8 cm;9例患者肿瘤为单个,2例患者为2个;6例肿瘤颜色为暗红色,3例灰红色,1例淡黄色,1例部分暗红、部分灰白,1例部分暗红、部分淡黄.结论 (1)胎盘血管瘤可引起孕妇早产、羊水过多、死胎及新生儿窒息等并发症.(2) 胎盘血管瘤在产前不易诊断,彩色多普勒超声是产前诊断胎盘血管瘤的惟一辅助手段.(3) 胎盘血管瘤大体观肿瘤体积大小不一,颜色大多为暗红色;也可因夹杂不同组织或供血不足而呈黄色或灰白色.
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