胎儿巨大骶尾部畸胎瘤破裂后足月分娩1例  

Full-term delivery following spontaneous rupture of a giant fetal sacrococcygeal teratoma:a case report

作　　者：唐冬梅 魏素梅 杨泽萱 文曦琳 张静逸 仲铀 胡志敏 罗丹 Tang Dongmei;Wei Sumei;Yang Zexuan;Wen Xilin;Zhang Jingyi;Zhong You;Hu Zhimin;Luo Dan(Department of Obstetric Intensive Care Unit,the Affiliated Women's and Children's Hospital,School of Medicine,UESTC Chengdu Women's and Children's Central Hospital,Chengdu 610091,China;Department of Ultrasonography,the Affiliated Women's and Children's Hospital,School of Medicine,UESTC Chengdu Women's and Children's Central Hospital,Chengdu 610091,China;Department of Radiology,the Affiliated Women's and Children's Hospital,School of Medicine,UESTC Chengdu Women's and Children's Central Hospital,Chengdu 610091,China;Department of Neonatal Intensive Care Unit,the Affiliated Women's and Children's Hospital,School of Medicine,UESTC Chengdu Women's and Children's Central Hospital,Chengdu 610091,China;Department of Pediatric Surgery,the Affiliated Women's and Children's Hospital,School of Medicine,UESTC Chengdu Women's and Children's Central Hospital,Chengdu 610091,China;Department of Pathology,the Affiliated Women's and Children's Hospital,School of Medicine,UESTC Chengdu Women's and Children's Central Hospital,Chengdu 610091,China)

机构地区：[1]电子科技大学医学院附属妇女儿童医院成都市妇女儿童中心医院重症产科,成都610091 [2]电子科技大学医学院附属妇女儿童医院成都市妇女儿童中心医院超声科,成都610091 [3]电子科技大学医学院附属妇女儿童医院成都市妇女儿童中心医院放射科,成都610091 [4]电子科技大学医学院附属妇女儿童医院成都市妇女儿童中心医院新生儿科,成都610091 [5]电子科技大学医学院附属妇女儿童医院成都市妇女儿童中心医院儿外一科,成都610091 [6]电子科技大学医学院附属妇女儿童医院成都市妇女儿童中心医院病理科,成都610091

出　　处：《中华围产医学杂志》2022年第1期59-62,共4页Chinese Journal of Perinatal Medicine

摘　　要：本文报告了1例妊娠14周经超声发现胎儿骶尾部畸胎瘤,超声联合MRI提示肿瘤分型为Ⅰ型。妊娠26周前肿瘤囊性部分占比>60%,妊娠28周肿瘤囊性部分自行破裂。妊娠期密切监测,妊娠36周+5时,肿瘤体积增至12.8 cm×9.7 cm×12.3 cm。孕妇于妊娠37周行剖宫产术分娩。新生儿生后4 d于小儿外科行肿瘤切除术,术后随访无生理功能障碍,预后良好。We describe a case of fetal sacrococcygeal teratoma detected by ultrasound at 14 gestational weeks.The tumor was classified as"typeⅠ"by ultrasonography combined with MRI.The cystic part accounted for over 60%of the mass before 26 weeks and ruptured spontaneously at 28 weeks.The size of the tumor was 12.8 cm×9.7 cm×12.3 cm at 36+5 gestational weeks.A female newborn was born through cesarean section at 37 weeks of gestation and had the tumor removed surgically on the postnatal day 4.Postoperative follow-up showed that the neonate had a good prognosis without physiological dysfunction.

关 键 词：畸胎瘤 骶尾部 破裂 自发性 超声检查 产前 婴儿 新生 

分 类 号：R730[医药卫生—肿瘤]