妊娠合并膜状胎盘1例文献学习  

Pregnancy complicated with membranous placenta:a case report and literature review

作　　者：杨智宇 郑迎奥 孟祥莲 王俊 Yang Zhiyu;Zheng Yingao;Meng Xianglian;Wang Jun(Anhui provincial maternal and child health hospital,Hefei,Anhui,230000,China)

机构地区：[1]安徽省妇幼保健院,安徽合肥230000

出　　处：《齐齐哈尔医学院学报》2022年第3期231-233,共3页Journal of Qiqihar Medical University

摘　　要：通过对妊娠合并膜状胎盘病因如早期子宫内膜炎、子宫内膜萎缩或发育不全、底蜕膜血液供应差而包蜕膜血液供应丰富、受精卵种植过深、滋养层细胞发育障碍等学习,以及对于无痛性阴道流血的临床表现的识别及典型超声图像特征为胎盘面积巨大,覆盖宫腔面积2/3以上、胎盘异常增厚,可厚薄不均、胎盘内正常均匀实质回声减少,形成大片旋涡状、喷泉状、泥石流样流动液性暗区,好似一层薄膜包裹大量流动血液形成血袋的少见病例的认知。加强对膜状胎盘的临床诊断[7]识别,从而及早加强对孕妇的管理和宣教,做出周密的产前计划,从而提高妊娠管理质量,改善围产儿结局。Through the study of the causes of pregnancy complicated with membranous placenta such as pathogenesis including early endometritis,endometrial atrophy or hypoplasia,poor blood supply of basal decidua and abundant blood supply of decidua,deep implantation of fertilized eggs,dystrophoblastic cell development;as well as the identification of clinical manifestations of painless vaginal bleeding;and awareness of typical ultrasonic images of the rare case which characterized by huge placental area,covering more than 2 in 3 of the uterine cavity area and abnormally thickened placenta,uneven in thicknessand reducednormal and uniform solid echo in placenta,forming a large vortex like or fountain like or debris flow like fluidic dark area,similar to blood bags formed by a large amount of flowing blood wrapped by a film;to strengthen the clinical identification of membranous placenta,and strengthen the management and education of pregnant women as soon as possible and make a careful prenatal plan,improve the quality of pregnancy management and perinatal outcomes.

关 键 词：膜状胎盘 绒毛 超声诊断 病例报告 羊水过少 

分 类 号：R714.2[医药卫生—妇产科学]