CAJ | 학술논문

目的：探讨胎儿先天性大叶性肺气肿(CLE)的产前超声声像特点及其临床结局。方法回顾性分析2011年1月至2014年5月10例出生后确诊为CLE患儿的产前超声声像特点，随访其临床结局。结果10例产前超声发现胸腔高回声肿块胎儿出生后确诊为CLE，其中7例发生在左上肺叶，5例内有多发囊性回声，9例曾有心脏受压移位，肿块内未探及主动脉来源供血。出生后CT及病理均诊断为CLE。结论产前超声可检出胸腔高回声肿块，发生在上肺叶的肿块并占据整个肺叶时应高度警惕CLE的可能。
목적：탐토태인선천성대협성폐기종(CLE)적산전초성성상특점급기림상결국。방법회고성분석2011년1월지2014년5월10례출생후학진위CLE환인적산전초성성상특점，수방기림상결국。결과10례산전초성발현흉강고회성종괴태인출생후학진위CLE，기중7례발생재좌상폐협，5례내유다발낭성회성，9례증유심장수압이위，종괴내미탐급주동맥래원공혈。출생후CT급병리균진단위CLE。결론산전초성가검출흉강고회성종괴，발생재상폐협적종괴병점거정개폐협시응고도경척CLE적가능。
Objective To investigate the prenatal ultrasonic characteristics and clinical outcomes of fetal congenital lobar emphysema (CLE). Methods A retrospective analysis was done to demonstrate the prenatal ultra-sonic characteristics of 10 children diagnosed as CLE after birth from January 2011 and May 2014. The clinical out-comes were followed up. Results Ten patients were diagnosed with CLE after birth, whose prenatal ultrasound mani-fest hyperechoic masses in the fetal chests, in which 7 cases occurred in the upper left lobe, 5 cases were found with multiple cystic echo in the masses, 9 cases were detected with compression and shift of the heart. No aortic blood ves-sel that supplied blood to the mass was found in all the cases. All the cases were diagnosed as CLE by CT and patholo-gy. Conclusion Prenatal ultrasound can detect thoracic hyperechoic mass, and the masses locate in the upper lobe and occupy the whole lobe should be more vigilantly suspected the possibility of CLE.