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目的:探讨胎盘绒毛膜血管瘤的诊治方法。方法:回顾性分析19例胎盘绒毛膜血管瘤的临床资料。结果:在19例胎盘绒毛膜血管瘤患者中,5例产前彩色多普勒超声明确诊断,直径均>4 cm。除了大的血管瘤外,既使小血管瘤(直径<3 cm),亦可出现胎儿生长受限、重度子痫前期等并发症。产前可通过彩色多普勒超声、胎心监护、胎儿-胎盘功能测定等手段预测胎儿宫内安危,适时终止妊娠,使围生期获得良好的结局。结论:加强产前监测,及时发现并发症是获得围生期良好预后的重要手段。
Objective: To investigate the diagnosis and treatment of placental choriocarcinoma. Methods: A retrospective analysis of 19 cases of placental choriocarcinoma clinical data. Results: Of the 19 patients with placental choriocarcinoma, 5 prenatal color Doppler ultrasonography was diagnosed correctly with the diameter of> 4 cm. In addition to large hemangiomas, complications such as fetal growth restriction and severe preeclampsia may occur even with small hemangiomas (<3 cm in diameter). Prenatal by color Doppler ultrasound, fetal heart rate monitoring, fetal - placental function tests and other means to predict the safety of fetal uterus, timely termination of pregnancy, the perinatal period to obtain a good outcome. Conclusion: To strengthen prenatal monitoring and timely detection of complications is an important means to obtain a good prognosis in perinatal period.