中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
32期
114-116
,共3页
温海群%李金莉%严富良%梁凤伟
溫海群%李金莉%嚴富良%樑鳳偉
온해군%리금리%엄부량%량봉위
胎儿%先天性肺囊腺瘤%产前%超声检查
胎兒%先天性肺囊腺瘤%產前%超聲檢查
태인%선천성폐낭선류%산전%초성검사
Fetus%Congenital cystic adenomatoid malformation%Prenatal%Ultrasonography
目的：探讨胎儿先天性肺囊腺瘤的超声诊断价值，并对预后进行分析。方法：2007年1月-2014年3月，对本院产前超声诊断为胎儿先天性肺囊腺瘤的11例孕妇进行观察，重点扫查胎儿双侧肺，观察病灶二维超声声像图特征，应用彩色多普勒显示病灶血供情况，并注意观察有无胎儿水肿和其他胎儿异常畸形存在，随访临床、影像或病理检查结果。结果：检出的11例胎儿先天性肺囊腺瘤中，10例病灶位于单侧肺，1例病灶双侧肺均有；单侧肺病例中，6例位于左侧，4例位于右侧；Ⅰ型3例，Ⅱ型5例，Ⅲ型3例；4例伴有羊水过多；2例Ⅲ型伴有胎儿水肿；1例Ⅱ型伴有同侧胸腔少量积液及合并胎儿唇裂畸形；2例Ⅱ型定期复查显示病灶逐渐缩小；1例Ⅰ型出生后经手术治疗，术后患儿如常；7例选择终止妊娠，引产后病理证实与超声诊断相符。结论：产前超声检查能准确诊断胎儿先天性肺囊腺瘤畸形，可对病灶进行分型并评估预后。
目的：探討胎兒先天性肺囊腺瘤的超聲診斷價值，併對預後進行分析。方法：2007年1月-2014年3月，對本院產前超聲診斷為胎兒先天性肺囊腺瘤的11例孕婦進行觀察，重點掃查胎兒雙側肺，觀察病竈二維超聲聲像圖特徵，應用綵色多普勒顯示病竈血供情況，併註意觀察有無胎兒水腫和其他胎兒異常畸形存在，隨訪臨床、影像或病理檢查結果。結果：檢齣的11例胎兒先天性肺囊腺瘤中，10例病竈位于單側肺，1例病竈雙側肺均有；單側肺病例中，6例位于左側，4例位于右側；Ⅰ型3例，Ⅱ型5例，Ⅲ型3例；4例伴有羊水過多；2例Ⅲ型伴有胎兒水腫；1例Ⅱ型伴有同側胸腔少量積液及閤併胎兒脣裂畸形；2例Ⅱ型定期複查顯示病竈逐漸縮小；1例Ⅰ型齣生後經手術治療，術後患兒如常；7例選擇終止妊娠，引產後病理證實與超聲診斷相符。結論：產前超聲檢查能準確診斷胎兒先天性肺囊腺瘤畸形，可對病竈進行分型併評估預後。
목적：탐토태인선천성폐낭선류적초성진단개치，병대예후진행분석。방법：2007년1월-2014년3월，대본원산전초성진단위태인선천성폐낭선류적11례잉부진행관찰，중점소사태인쌍측폐，관찰병조이유초성성상도특정，응용채색다보륵현시병조혈공정황，병주의관찰유무태인수종화기타태인이상기형존재，수방림상、영상혹병리검사결과。결과：검출적11례태인선천성폐낭선류중，10례병조위우단측폐，1례병조쌍측폐균유；단측폐병례중，6례위우좌측，4례위우우측；Ⅰ형3례，Ⅱ형5례，Ⅲ형3례；4례반유양수과다；2례Ⅲ형반유태인수종；1례Ⅱ형반유동측흉강소량적액급합병태인진렬기형；2례Ⅱ형정기복사현시병조축점축소；1례Ⅰ형출생후경수술치료，술후환인여상；7례선택종지임신，인산후병리증실여초성진단상부。결론：산전초성검사능준학진단태인선천성폐낭선류기형，가대병조진행분형병평고예후。
Objective:To explore the value of ultrasound in diagnosis of fetal congenital cystic adenomatoid malformation,and analyze the prognosis. Method:From 2007 January to 2014 March,11 gravidas who were diagnosed as fetal congenital cystic adenomatoid malformation through prenatal ultrasound were observed,the fetal lung lesions, the two-dimensional ultrasound characteristics were scanned as a key point,and the blood supply were observed by using color Doppler,the hydrops fetalis and other fetal malformation were also observed,the clinical symptom,pathology and imageology result were observed as follow-up data. Result:Within the 11 cases with congenital pulmonary cystadenoma, 10 cases with unilateral lung pathology(6 left,4 right)and 1 case with bilateral lung pathology. 3 cases of type Ⅰ,5 cases of typeⅡ,3 cases of typeⅢwere identyfied. 4 cases with polyhydramnios,2 cases with hydrops fetalis,1 case of the typeⅡwith slight hydrothorax in the same side combine with fetal lagocheilus were found,2 case of typeⅡshowed a shrinking lesions in the periodic inspection,1 case of typeⅠwas cured by surgery postnatally,7 cases chose pregnancy termination and the post-odinopoeia pathology conformed to ultrasound diagnosis. Conclusion:Prenatal ultrasonography is not only effective in the diagnosis of fetal congenital cystic adenomatoid malformation of the lung lesions,but also in the classification of pathology and the assessment of prognosis.
