CAJ | 학술논문

目的：探讨产前超声检查对胎儿先天性肺囊腺瘤畸形的诊断价值、转归及预后。方法：对产前超声诊断的16胎先天性肺囊腺瘤畸形的声像图特征进行回顾性分析，动态观察并随访妊娠结局。结果：产前超声诊断的16胎先天性肺囊腺瘤畸形，11胎经引产后病理证实，1胎随访观察病灶无明显变化，3胎病灶明显缩小，1胎病灶于孕39周前消失。典型声像图特征：胎儿胸腔内可见多个大小不等的囊肿或不规则实性强回声合性占据一侧肺或一叶肺，病灶由肺动脉供血。结论：产前超声检查对胎儿先天性肺囊腺瘤畸形的诊断及临床预后具有重要价值。
목적：탐토산전초성검사대태인선천성폐낭선류기형적진단개치、전귀급예후。방법：대산전초성진단적16태선천성폐낭선류기형적성상도특정진행회고성분석，동태관찰병수방임신결국。결과：산전초성진단적16태선천성폐낭선류기형，11태경인산후병리증실，1태수방관찰병조무명현변화，3태병조명현축소，1태병조우잉39주전소실。전형성상도특정：태인흉강내가견다개대소불등적낭종혹불규칙실성강회성합성점거일측폐혹일협폐，병조유폐동맥공혈。결론：산전초성검사대태인선천성폐낭선류기형적진단급림상예후구유중요개치。
Objective To investigate value,prognosis and prognostic of prenatal ultrasonography in diagnosis of fetal congenital pulmo-nary cystic adenomatoid malformation. Method Prenatal ultrasound diagnosis of sixteen fetuses of congenital cystic adenomatoid malforma-tion of lung of fetal sonographic features were analyzed retrospectively,dynamic observation and follow - up outcome of pregnan-cy. Results 16 fetuses were diagnosed as congenital cystic adenomatoid malformation of lung,11 fetuses were confirmed by pathology,1 fe-tal showed no significant change by follow-up of lesions,3 fetal lesions significantly reduced,1 fetal lesions before 39 weeks of gesta-tion. Typical ultrasonographic features:irregular solid hyperechoic or cystic-solid mixed in fetal intrathoracic occupy one lung or lobe of the lung,pulmonary artery supply lesion revascularization. Conclusion Prenatal ultrasonography is of great clinical value and prognosis in diag-nosis of fetal congenital pulmonary cystic adenomatoid malformation.