对18例内血管血栓的临床分析
Guoliang Tang1, Yuting Ye1, Yinjiao Li1
1Department of Obstetrics, Shenzhen People's Hospital, 2nd Clinical Medical College of Jinan University, 1st Affiliated Hospital of South University of Science and Technology, Shenzhen, Guangdong, China.
Frontiers in surgery
|July 31, 2025
概括
内血管血栓症是一种罕见的疾病,与严重的胎儿并发症有关. 早期检测具有挑战性,强调需要全面监测和及时干预,以改善围产期的结果.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 血管病理学血管病理学
背景情况:
- 内血管血栓症 (IVT) 是一种罕见的疾病,影响血管.
- 它对胎儿福祉和围产期结果构成重大风险.
- 目前的诊断方法往往无法在产前检测出IVT.
研究的目的:
- 评估内血管血栓瘤的临床特征.
- 分析相关的围产期结局.
- 确定改善诊断准确性和管理的策略.
主要方法:
- 对18个IVT病例的回顾性分析.
- 从2017年1月到2022年12月收集的数据.
- 包括母亲的人口统计数据,分娩细节,怀孕结果和病理发现.
主要成果:
- 在产前很难检测IVT;只有16.7%通过超声波发现.
- 大多数病例是在分娩或产后检查期间诊断出来的.
- 与不良结果相关:子宫内胎儿死亡 (22.2%),胎儿痛苦,新生儿脑损伤和缺氧缺血性脑病变.
结论:
- IVT是一种严重的疾病,具有高胎儿和产周并发症的风险.
- 早期检测具有挑战性,需要进行全面的产前评估.
- 及时干预,包括可能终止怀孕,对于尽量减少不良结果至关重要.
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