目的:探讨胎儿头颈部血管瘤超声声像表现及胎儿临床结局.方法:收集2005年8月-2010年12月在中山大学附属第一医院产前超声检查可疑胎儿头颈部血管瘤者11例,分析其超声声像特征,追踪随访其临床结局.结果:1例胎儿出生后诊断为淋巴管囊肿,共10例确诊为头颈部血管瘤被纳入研究,均未发现合并其他异常.10例胎儿头颈部血管瘤超声表现为囊实性混合回声(6例)或实性回声肿块(4例),彩色多普勒超声检查肿块实性部分可探及条状彩色血流信号.囊实性混合回声型组引产1例,出生5例,1例在妊娠后期肿块自行消退,实性回声型组引产1例,出生3例,1例在1岁内自行消退.所有出生病例均未发生死亡或心力衰竭等不良结局.结论:胎儿头颈部血管瘤声像表现为囊实性混合回声型或实性回声型,该病预后较好,部分病例可自行消退.对产前超声怀疑胎儿头颈部血管瘤病例应选择定期超声监测.%Objective:To evaluate prenatal ultrasonographic features and postnatal outcome of fetal head and neck hemangioma. Methods: Eleven cases suspected fetal head and neck hemangioma from August 2005 to December 2010 in the first affiliated hospital of SUN Yat-sen university were included. The sonographic findings were analyzed and the clinical outcome were followed up. Results: One case diagnosed lymphangioma after delivery was excluded, eventually 10 case were included. No other malformation was found in our study. The ultrasonogram of 10 cases fetal head and neck hemangioma presented as a solid-cystic-mixed-echo (6 cases) or solid-echo (4 case) mass. Color Doppler sonography depicted vascularity in the solid part of the mass. In the solid-cystic-mixed-echo group 1 case chose termination of pregnancy and 5 cases were born, of which 1 case spontaneously degraded in late pregnancy. Whereas in the solid-echo group, 1 case chose termination of pregnancy and 3 cases were born, of which 1 case spontaneously degraded within 1 year-of-age. None had adverse outcomes such as demise and cardiac failure in the alive cases. Conclusion: In our study, fetal head and neck hemangioma presented as solid-cystic-mixed-echo or solid-echo. It has favorable prognosis and spontaneous resolution took place in some cases of our research. Serial ultrasound surveillances should be given when the fetal head and neck hemangioma is suspected.
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