胎儿肝脏血管瘤的产前超声影像学特征及预后

doi:10.3969/j.issn.1671-7171.2020.02.003

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Abstract 【Objective】To investigate the prenatal sonographic characteristics and prognosis of the hepatic hemangiomas.【Methods】We retrospectively reviewed the sonographic images of 15 patients with hepatic hemangiomas from January 2014 to October 2018 during our hospital. Prenatal liver hemangiomas ultrasound imaging features and prognosis were analyzed.【Results】Of the 15 cases, 13 were diagnosed as hepatic hemangioma by prenatal ultrasound, and 2 were misdiagnosed as hepatoblastoma (1 case was induced and 1 case was delivered by live birth). The diagnostic accuracy of prenatal ultrasound was 86.7% (13/15), and the misdiagnosis rate was 13.3% (2/15). The echogenicity of hemangioma included hyperechoic(2/15), isoechoic(1/15), hypoechoic(5/15), mixed echo (7/15).The 13 live births were confirmed to have hepatic hemangioma by color Doppler ultrasound or enhanced CT scan or MRI; while 2 induced fetuses were confirmed hepatic hemangiomas by autopsy and pathology on the premise of informed consent of pregnant women. All 13 live-born infants were treated conservatively and performed color Doppler ultrasound during treatment with good prognosis for 6~36 months follow-up.【Conclusion】 Fetal hepatic hemangioma has certain characteristics such as boundary, internal echo, and blood flow signals, however, it lacks specificity. Prenatal ultrasound can provide some values in the diagnosis of fetal hepatic hemangioma. Children with hepatic hemangioma have a good prognosis after conservative treatment.

Key words： Hemangioma Ultrasonography,prenatal Prognosis

Received: 04 December 2019

PACS:

R735.7

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2020.02.003 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2020/V37/I2/167

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