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目的描述胎儿皮肤血管瘤的超声图像特征及围产期自然进程。方法对超声检查发现胎儿皮肤肿物的病例进行观察、监测、随访,回顾分析6例明确诊断为血管瘤的声像图特征、监测过程、并发症情况及妊娠结局。结果 6例血管瘤均为实质性回声,彩色多普勒超声显示内部血流信号丰富3例,其中胎儿出现心衰伴羊水过多及脐动脉S/D升高2例、周围结构受侵2例,3例胎儿均引产;肿块内血流信号由丰富变为稀疏1例,伴随羊水过少及脐动脉S/D升高,最终胎死宫内;血流信号稀疏的2例胎儿孕程中均未出现合并症,新生儿存活。结论对胎儿皮肤血管瘤有序、全面的评估展示了进展的超声表现,丰富了对疾病的认识。
Objective To describe the characteristics of ultrasound images of fetus cutaneous hemangiomas and the natural process of perinatal period. Methods We observed, monitored and followed up the cases of fetal skin tumor found by ultrasonography and retrospectively analyzed the features, monitoring process, complications and pregnancy outcomes of 6 cases with definite diagnosis of hemangiomas. Results All the 6 hemangiomas were echogenic. The color Doppler ultrasound showed that the internal blood flow signals were abundant in 3 cases. Among them, the fetus had heart failure accompanied by polyhydramnios and elevated umbilical artery S / D in 2 cases, and the surrounding structures were infiltrated 2 Cases, 3 cases of fetuses were induced abortion; the mass flow signal from rich to sparse in 1 case, accompanied by oligohydramnios and umbilical artery S / D increased, the final intrauterine fetal death; sparse flow signal in 2 cases of fetal pregnancy are No complications, newborn survival. CONCLUSIONS: An ordered and comprehensive assessment of fetal cutaneous hemangiomas demonstrates the progress of ultrasound findings and enriches the understanding of the disease.