摘要
目的探讨产前超声诊断胎儿肺发育异常的应用价值。资料与方法对117例胎儿肺发育异常产前超声诊断结果与出生手术后或引产后肺发育异常病理解剖结果进行回顾性分析。结果 117例肺发育异常胎儿中,先天性肺囊腺瘤畸形56例,其中I型9例,II型29例,III型18例;隔离肺48例;先天性肺囊腺瘤畸形合并隔离肺6例;先天性肺叶性肺气肿6例;先天性支气管囊肿1例。产前超声诊断与病理解剖符合106例(90.6%),产前超声诊断与病理解剖结果不一致11例。结论产前超声诊断胎儿肺发育异常具有较高的准确性,但对部分畸形的精确诊断有一定的困难。
Purpose To discuss the value of prenatal ultrasound diagnosis in fetal lung masses. Materials and Methods A retrospective comparison was carried out between the findings of prenatal ultrasound diagnosis and results of birth abortion surgery or lung masses autopsy in 117 cases of fetal lung masses. Results Fifty-six out of 117 cases were diagnosed with fetal congenital malformations of lung cystadenoma, among which 9 cases were in type I, 29 cases in type II, 18 cases in type III; 48 cases were pulmonary sequestrations; 6 cases were congenital cystic adenomatoid malformation combined with pulmonary sequestrations; 6 cases were congenital lobar emphysema and 1 case was congenital bronchial cyst. Prenatal ultrasound diagnosis was consistent with the pathological findings in 106 cases（90.6%）; however, it was inconsistent with pathological anatomy results in 11 cases. Conclusion Prenatal ultrasound examination has rather high accuracy in diagnosis of fetal lung mass, but for some deformity, the accurate diagnosis is somewhat difficult.
出处
《中国医学影像学杂志》
CSCD
北大核心
2016年第9期681-684,共4页
Chinese Journal of Medical Imaging
基金
广东省医学科研基金资助课题(B2014026)
中国医师协会超声医师分会中国超声医师科技新星计划(201604)
广东省现代医院管理研究所科研基金资助课题(201404)
关键词
支气管肺发育不良
囊腺瘤样畸形
肺
先天性
支气管肺隔离症
超声检查
产前
病理学
外科
胎儿
Bronchopulmonary dysplasia
Cystic adenomatoid malformation of lung
congenital
Bronchopulmonary sequestration
Ultrasonography
prenatal
Pathology
surgical
Fetus
