CAJ | 학술논문

目的探讨产前超声诊断及监测胎儿肺部肿块的价值.方法 2012年7月至2015年1月海口市妇幼保健院中孕期产前超声筛查发现肺部肿块的胎儿36例,对胎儿肺部肿块进行诊断分析,检测肺部肿块的体积与胎儿头围比值(CVR值)或健侧肺面积与胎儿头围比值(LHR值),初步评估预后并超声监测复查.结果产前超声诊断胎儿肺部囊腺瘤(CCAM) 18例,隔离肺(BPS) 6例,隔离肺合并囊腺瘤5例,膈疝(CDH) 7例.除引产12例外,出生后状态良好未行检查11例,病灶变小或不明显5例,手术7例,出生1 d内死亡1例.结论产前超声及早诊断胎儿肺部肿块,通过规范监测和临床干预,对促进胎肺成熟、减少不良妊娠结局具有较大临床意义.
목적 탐토산전초성진단급감측태인폐부종괴적개치.방법 2012년7월지2015년1월해구시부유보건원중잉기산전초성사사발현폐부종괴적태인36례,대태인폐부종괴진행진단분석,검측폐부종괴적체적여태인두위비치(CVR치)혹건측폐면적여태인두위비치(LHR치),초보평고예후병초성감측복사.결과 산전초성진단태인폐부낭선류(CCAM) 18례,격리폐(BPS) 6례,격리폐합병낭선류5례,격산(CDH) 7례.제인산12예외,출생후상태량호미행검사11례,병조변소혹불명현5례,수술7례,출생1 d내사망1례.결론 산전초성급조진단태인폐부종괴,통과규범감측화림상간예,대촉진태폐성숙、감소불량임신결국구유교대림상의의.
Objective To study the value of prenatal ultrasonic diagnosis and monitoring of fetal lung mass. Methods Thirty-six fetuses with lung mass found by prenatal ultrasonic monitoring in Haikou Women and Children Hospital from Jul. 2012 to Jan. 2015 were included in the study. The lung masses were diagnosed and analyzed, with cystic volume ratio (CVR) or lung area to head circumference ratio (LHR) determined. The prognosis was preliminary assessed and the fetuses were reexamined by ultrasound. Results Among the 36 cases of fetal lung mass, there were 18 cases of congenital cystic adenomatiod malformation (CCAM), 6 cases of bronchopulmonary sequestration (BPS), 5 cases of CCAM+BPS, 7 cases of congenital diaphragmatic hernia (CDH). Among the 36 fetuses, 12 suffered odinopoeia. Eleven were in good health condition after birth and received no more examination. Five showed smaller or unobvious lesions. Seven underwent surgery, and one died within one day after birth. Conclusion Prenatal ultra-sonic diagnosis of fetal lung mass, combined with standardized monitoring and clinical intervention, has great clinical significance for promoting fetal lung maturation and reducing adverse pregnancy outcome.