胎盘绒毛膜血管瘤病临床病理分析
廖欣;邹娟;孙亮;杨帆
【期刊名称】《四川医学》 【年(卷),期】2018(039)003
【摘要】目的 探讨胎盘绒毛膜血管瘤病(Chorangiomatosis,CM)的临床病理特征、相关妊娠期及围生儿合并症、诊断及鉴别诊断.方法 对9例胎盘CM的临床及病理资料进行回顾性研究,并对围生儿情况进行1年随访.结果 9例胎盘CM中,2例为弥漫性CM,7例为局限性CM;9例CM均伴有妊娠期合并症,包括先兆子痫、胎膜早破、胎盘早剥及妊娠期糖尿病等;9例新生儿产后1年均存活,包括双胎2例,早产儿5例,宫内发育迟缓(Intrauterine Growth Retardation,IU-GR)2例及肥厚性心肌病1例.结论 胎盘CM是一类较为罕见的胎盘绒毛血管疾病,目前主要依赖产后胎盘病理诊断,尤其需要与胎盘绒毛膜血管瘤(Chorangioma,CA)和胎盘绒毛膜血管病(Chorangiosis,CH)进行鉴别;胎盘CM与多种妊娠期及新生儿并发症相关,需引起重视.%Objective To investigate the clinicopathological features,associated complications of pregnancy and perinatal infants,diagnosis and differential diagnosis of placental chorioangiomatosis(CM).Methods The clinical and pathological data of 9 cases of placental CM were retrospectively studied,and the perinatal condition was followed up for 1 year.Results In 9 cases of placental CM,2 cases were diffuse CM and 7 cases were localized CM;9 cases of CM were associated with complications of preg-nancy,including preeclampsia,premature rupture of membranes,placental abruption and
gestational diabetes mellitus;9 cases of newborns survived 1 year after postpartum,including 2 cases of twins,5 cases of premature infants,and 2 cases of Intrauterine Growth Retardation( IUGR)and 1 case of hypertrophic cardiomyopathy.Conclusion Placental CM is a rare type of placental chorionic vas-cular disease.At present,it mainly relies on postpartum placental pathological diagnosis,especially differentiated from
placental
Chor-angioma(CA)and
placental
Chorangiosis(CH);Placental CM is associated with multiple pregnancy and neonatal complications,which needs attention. 【总页数】4页(312-315)
【关键词】绒毛膜血管瘤病;胎盘;绒毛;绒毛膜血管瘤;绒毛膜血管病 【作者】廖欣;邹娟;孙亮;杨帆
【作者单位】四川大学华西第二医院病理科,出生缺陷与相关妇儿疾病教育部重点实验室,四川 成都610041;四川大学华西第二医院病理科,出生缺陷与相关妇儿疾病教育部重点实验室,四川 成都610041;四川大学华西第二医院病理科,出生缺陷与相关妇儿疾病教育部重点实验室,四川 成都610041;四川大学华西第二医院病理科,出生缺陷与相关妇儿疾病教育部重点实验室,四川 成都610041 【正文语种】中文 【中图分类】R714.56 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_sichuan-medical-journal_thesis/0201249602205.html
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胎盘绒毛膜血管瘤病临床病理分析
