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目的:探讨胎盘血管瘤的临床特点和处理方法。方法:对我院收治的7例胎盘血管瘤患者的临床资料进行回顾性分析。结果:在7例胎盘血管瘤患者中,6例临床诊断为胎盘血管瘤,1例误诊为胎盘早剥血肿;7例患者中,2例发生早产,1例合并羊水过多,1例新生儿轻度窒息;胎盘病理大体观检查,肿瘤大小2cm×2cm×1cm至5cm×5cm×4cm;7例患者肿瘤均为单个;6例肿瘤颜色为暗红色,1例部分暗红色、部分灰白色。7例患者中,3例阴道分娩,4例剖宫产。结论:胎盘血管瘤可引起早产、羊水过多、新生儿窒息等并发症;胎盘血管瘤在产前不易确诊,彩色多普勒超声是产前诊断胎盘血管瘤的唯一辅助手段。孕期和产程中发现胎心异常时应想到脐带和胎盘的病变,给予及时处理,适时终止妊娠。
Objective: To investigate the clinical features and treatment of placental hemangioma. Methods: The clinical data of 7 cases of placental hemangiomas admitted to our hospital were analyzed retrospectively. Results: Of the 7 patients with placental hemangiomas, 6 were clinically diagnosed as placental hemangiomas, 1 were misdiagnosed as placental abruption hematomas; 2 of 7 patients were premature, 1 was associated with polyhydramnios, 1 was neonatal Mild asphyxia; general examination of placental pathology, the size of the tumor 2cm × 2cm × 1cm to 5cm × 5cm × 4cm; 7 patients were single tumor; 6 tumor color dark red, dark red partly, partially gray. Of the 7 patients, 3 had vaginal delivery and 4 had cesarean delivery. Conclusion: Placental hemangioma can cause complications such as premature birth, polyhydramnios, neonatal asphyxia. Placental hemangioma is not easily diagnosed in prenatal period. Color Doppler ultrasonography is the only adjunct to prenatal diagnosis of placental hemangiomas. Abnormal fetal heart rate during pregnancy and labor should be found when the umbilical cord and placental lesions, give timely treatment, timely termination of pregnancy.