摘要
目的探讨胎儿皮肤血管瘤的超声影像特点及胎儿结局。方法应用灰阶和彩色多普勒超声对5例皮肤血管瘤胎儿进行观察分析,并与出生后血液学检查及皮肤血管瘤病理检查结果比较。结果超声诊断的5例皮肤血管瘤胎儿中,3例伴有动静脉瘘,其中2例发生心功能衰竭,1例出现心功能异常和血小板减少。此3例胎儿中1例引产,1例胎死宫内,1例新生儿存活;另外2例血管瘤较小,无其他并发症发生,新生儿预后好。结论胎儿较大的皮肤血管瘤,易发生致命性的并发症,如心功能衰竭、血小板减少症,围产儿预后差。
Objective To study the ultrasonic characteristics of fetal cutaneous hemangioma and the association with perinatal outcomes. Methods Five fetuses with cutaneous hemangioma were detected by gray-scale and color Doppler ultrasound, compared with the result of pathology and hematology examinations after birth. Results Of the 5 cases diagnosed by ultrasound, 3 had arteriovenous fistulas. In these 3 cases two fetuses developed high-output cardiac failure, and one developed cardiac insufficiency and thrombocytopenia. Finally one fetus was induced, one fetus died in the uterus and one neonate survived. The other two fetuses who had small tumors diagnosed by ultrasound did not develop any perinatal complications, and the neonates had favonrable prognosis. Condusions Massive hemangiomas are frequently associated with life-threatening complications such as high-output heart failure, thrombocytopenia and disseminated intravascular coagulopathy （ Kasabach-Merritt syndrome）.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2006年第9期605-607,共3页
Chinese Journal of Obstetrics and Gynecology
关键词
胎儿疾病
皮肤肿瘤
血管瘤
超声检查
多普勒
彩色
超声检查
产前
Fetal diseases
Skin neoplasms
Hemangioma
Ultrasonography, doppler, color
Ultrasonography, prenatal
