首页|胎盘绒毛膜血管瘤病17例临床病理分析

胎盘绒毛膜血管瘤病17例临床病理分析

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目的 研究和探讨胎盘绒毛膜血管瘤病(CM)的临床病理特征、诊断、鉴别诊断及对围生儿结局的影响.方法 收集厦门市妇幼保健院病理科2021年6月至2023年3月确诊CM 17例,回顾性分析其临床及病理资料,并进行分析总结.结果 17例CM中局限型占15例(占88.2%),包括局灶性7例,阶段性8例(2例见终末绒毛累及);弥漫型2例(占11.8%,均见终末绒毛累及);围生儿影响方面,CM、非CM在生长发育迟缓、早产、死胎的总体分布上存在着统计学差异(P<0.05).结论 CM是比较少见的一种胎盘绒毛血管病变,除了累及干绒毛和未成熟中间型绒毛,还可累及终末绒毛,对围生儿结局有不良影响,需引起临床重视,胎盘的准确评估具有临床意义.
Placental chorioangiomatosis:a clinicopathological analysis of seventeen cases
Objective To explore the clinicopathological features,diagnosis,differential diagnosis of placental chorioangiomatosis(CM)and impact on perinatal outcome.Methods 17 cases of CM were confirmed in the Department of Pathology from June 2021 to March 2023 were collected,and their clinical and pathological data were retrospectively analyzed and summarized.Results Of the 17 cases of chorionic angiomatosis,focaltype was 15(88.2%),including focal 7 and stage 8(2 cases showed terminal villi involvement);diffuse 2(11.8%,all cases showed terminal villi involvement);statistical differences existed in the overall distribution of CM and non-CM in growth retardation,premature birth and stillbirth(P<0.05).Conclusion CM is a relatively rare placental villous vascular disease.In addition to dry villus and immature intermediate villi,it can also involve terminal villi,which has adverse effects on the outcome of perinatal infants,and needs clinical attention.The accurate evaluation of placenta is of clinical significance.

ChoriochoangiomatosisPlacentsPathological analysisPerinatal infant

张爱格、王莉萍、杨毅斌、陈菠、郑良楷

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厦门大学附属妇女儿童医院厦门市妇幼保健院病理科,福建厦门 361003

绒毛膜血管瘤病 胎盘 病理分析 围生儿

2024

诊断病理学杂志
北京军区总医院

诊断病理学杂志

CSTPCD
影响因子:0.663
ISSN:1007-8096
年,卷(期):2024.31(6)