| 摘要: |
| 【摘要】目的 探讨超声诊断与监测胎盘绒毛膜血管瘤的价值。方法 回顾性分析13例产后病理诊断为胎盘绒毛膜血管瘤患者的产前超声表现及妊娠结局。结果 13例胎盘绒毛膜血管瘤均在产前超声检查中检出，检出时孕周16周到36周；均为单发性，其中76.9%（10/13）表现为低回声，23.1%(3/13)表现为中高回声；有69.2%(9/13)肿块内部可见血流信号，30.8%(4/13)肿块内部未见明显血流信号；84.6%(11/13)足月分娩（其中6例顺产、5例剖宫产），新生儿均无异常发现；15.4%(2/13)中期引产。结论 超声是产前诊断胎盘绒毛膜血管瘤的有效方法。产前超声及时检出胎盘绒毛膜血管瘤对孕期监测胎儿胎盘情况，判断胎儿预后有重要意义。 |
| 关键词: 超声 胎盘 血管瘤 诊断 监测 |
| DOI： |
| 投稿时间：2016-08-17修订日期：2016-11-06 |
| 基金项目: |
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| The value of ultrasound in diagnosis and monitor of placental chorioangioma |
| fanhongrong,zhou yu qing |
| (Tongren hospital，Shanghai Jiao Tong University school of Medicine;Shanghai Changning Maternity & Infant Health Hospital) |
| Abstract: |
| [Abstract] Objective To explore the value of ultrasound in diagnosis and monitor of placental chorioangioma. Methods 13 cases with placental chorioangioma which were confirmed by pathology after delivery were reviewed. The prenatal ultrasonographic manifestations and pregnancy outcomes were analyzed retrospectively. Results All 13 cases of placental chorioangioma were detected by prenatal ultrasound . The detecting time is between 16- 36 weeks of gestetion. All of these 13 cases are single placental chorioangioma. Among the 13 cases, 76.9%（10/13）cases were showing as low-echoic lesions, 23.1%(3/13)were showing as high-echoic lesions; Color blood flow were detected in 69.2%(9/13)cases and not detected in 30.8%(4/13)cases. There are 84.6%(11/13)cases of full-term birth with chorioangioma and 15.4%(2/13)cases of mid - term induced labor . Conclutions Prenatal ultrasound is an effective method for examination of placental chorioangioma before delivery, which plays an important role in detecting placental chorioangioma as well as in monitoring fetal and placental situation in estimating fetal prognosis. |
| Key words: Ultrasound Placenta Chorioangioma Diagnosis Monitor |
