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目的探讨胎盘血管瘤的临床特点及病理特征。方法对我院收治的10例胎盘血管瘤患者的临床及病理资料作回顾性分析。结果10例病理诊断为胎盘血管瘤的患者产前均行超声检查,6例诊断为胎盘血管瘤;2例临床误诊为胎盘早剥血肿;2例产后胎盘病理检查时发现而诊断;7例直径<5 cm,3例直径>5 cm,其中2例合并胎盘早剥(>5 cm)。结论胎盘血管瘤发生率较低,超声检查是产前诊断的唯一辅助手段,小者易漏诊及误诊,亦无并发症,妊娠合并较大绒毛膜血管瘤患者对胎儿危害较大,病理分为3种基本类型。
Objective To investigate the clinical features and pathological features of placental hemangiomas. Methods The clinical and pathological data of 10 cases of placental hemangiomas admitted to our hospital were retrospectively analyzed. Results 10 cases of pathological diagnosis of placental hemangioma were performed prenatal ultrasound, 6 cases were diagnosed as placental hemangioma; 2 cases were misdiagnosed as placental abruption hematoma; 2 cases were diagnosed after placental pathological examination; 7 cases of diameter <5 cm, 3 cases of diameter> 5 cm, of which 2 cases with placental abruption (> 5 cm). Conclusions The incidence of placental hemangioma is low. Ultrasonography is the only auxiliary measure for prenatal diagnosis. The small person is easily misdiagnosed and misdiagnosed. There is no complication. The patients with large chorioangiomama during pregnancy have a greater risk to the fetus and the pathology is divided into Three basic types.