2例巨大胎盘绒毛膜血管瘤合并胎儿贫血及羊水过多的宫内干预经验总结 [中文引用][英文引用]

目的 总结巨大胎盘绒毛膜血管瘤合并胎儿贫血及羊水过多的宫内干预经验，提高临床医生对该疾病的认识，改善胎儿预后。 方法 回顾性分析2例产前超声发现并经产后病理证实的巨大胎盘血管瘤孕妇的临床资料、并发症、孕期监测及宫内治疗经过。结果 2例巨大胎盘血管瘤孕妇均出现胎儿贫血及羊水过多表现，经宫内输血、羊水减量术等干预后，延长孕周3～6周，均娩出正常女婴，预后良好。结论 巨大胎盘绒毛膜血管瘤孕妇孕期应严密超声监测，出现胎儿贫血、羊水过多等并发症时，通过宫内输血及羊水减量术等干预措施可有效延长孕周，提高围产儿存活率。

Objective By summarizing experience of Intrauterine treatment of giant placental chorioangioma with fetal anemia and polyhydramnios, to raise our cognition to this disease and improve fetal outcome. Methods Retrospectively analyzed the clinical data、complications and process of monitoring and Intrauterine treatment of giant placental chorioangioma，which was found by ultrasound and confirmed by pathology. Results Fetal anemia and polyhydramnios occurred to 2 women with giant placental chorioangioma. By Intrauterine transfusion and amnioreduction amniodrainage, both women extended the gestational age by 3-6 weeks and gave birth to a girl, who were both in good condition. Conclusions Fetus with a giant placental chorioangioma should be monitored by ultrasound strictly. When complications like fetal anemia or polyhydramnios occur, Intrauterine transfusion and amnioreduction amniodrainage can be used to extend the gestational age effectively and improve fetal survival rate.