CAJ | 학술논문

目的探讨产前超声对胎儿先天性膈疝的诊断价值.方法回顾分析经解剖证实的10例胎儿先天性膈疝的声像图资料,总结其声像图特点.结果左侧膈疝9例,右侧膈疝1例.9例显示左侧胸腔占位病变伴心脏向右侧胸腔移位,1例显示右侧胸腔占位病变伴心脏向左侧胸腔移位.7例左侧胸腔内显示胃泡回声,1例腹腔内显示胃泡回声,2例胸、腹腔内均末显示胃泡回声.10例均显示心脏不同程度向前胸侧移位,左心房与降主动脉及脊柱分离.10例中合并羊水过多7例,其中3例伴有其他脏器畸形.结论产前超声对诊断胎儿先天性膈疝具有重要价值.
목적 탐토산전초성대태인선천성격산적진단개치.방법 회고분석경해부증실적10례태인선천성격산적성상도자료,총결기성상도특점.결과 좌측격산9례,우측격산1례.9례현시좌측흉강점위병변반심장향우측흉강이위,1례현시우측흉강점위병변반심장향좌측흉강이위.7례좌측흉강내현시위포회성,1례복강내현시위포회성,2례흉、복강내균말현시위포회성.10례균현시심장불동정도향전흉측이위,좌심방여강주동맥급척주분리.10례중합병양수과다7례,기중3례반유기타장기기형.결론 산전초성대진단태인선천성격산구유중요개치.
Objective To explore the value of prenatal ultrasonography for diagnosing fetal congenital diaphragm hernia(CDH). Methods Sonographic imaging of 10 cases with CDH confirmed by autopsy were retrospectively analyzed,the characteristics of imaging were Summarized. Results Nine cases had CDH on the left side,and one case on the right. Nine cases showed occupying lesion in left thoracic cavity with the heart shifting to right,one showed occupying lesion in the right thoracic cavity with the heart shifting to left.Seven cases were detected stomach in left thoracic cavity,one was detected stomach in the ahdominal cavity and 2 cases were not detected stomach in splanchnocoele. All cases were observed that the heart shifted to anterior chest with left atrium separating from descending aorta and the spine. There were 7 cases with hydramnios,3 cases with other organs abnormality among them. Conclusions Prenatal ultrasonography is of great value for diagnosing fetal CDH.