摘要
目的通过中孕期超声测量并计算先天性隔离肺(PS)胎儿肺头比(CVR)值,探讨CVR评估PS胎儿预后风险的价值。方法收集88例中孕期超声诊断为PS胎儿的超声及临床资料,根据产前测算的胎儿CVR值,分为CVR≥1.6组和CVR<1.6组,对比两组胎儿胎儿水肿发生率、产后呼吸窘迫症状及存活率。结果 88例PS胎儿中,中孕期超声诊断叶内型(ILS)62胎(62/88,70.45%),叶外型(ELS)I型19胎(19/88,21.59%),ELSⅡ型7胎(7/88,7.95%)。活产81胎(81/88,92.05%),引产5胎(51/88,5.68%),死胎2胎(2/88,2.27%)。CVR≥1.6组44胎,呼吸窘迫发生率为81.82%(36/44),胎儿水肿发生率为88.64%(39/44),活产率为84.09%(37/44);CVR<1.6组44胎,3胎(3/44,6.82%)产后发生呼吸窘迫,3胎(3/44,6.82%)发生胎儿水肿,活产率为100%(44/44)。两组胎儿水肿发生率、产后呼吸窘迫发生率及存活率的差异均有统计学意义(P均<0.05)。结论 CVR是产前中孕期超声筛查评价PS胎儿预后的有效指标。
Objective To investigate the value of cystic adenomatoid malformation volume ratio（CVR）using prenatal ultrasound in evaluation of congenital pulmonary sequestrations（PS）prognosis in fetus.Methods Totally 88 cases of fetal PS diagnosed with prenatal ultrasound were enrolled.The fetal CVR were recorded,and the clinical outcomes were observed.The fetus were further divided into CVR≥1.6 group and CVR〈1.6 group,then the fetal hydrops rate,incidence of respiratory distress symptoms after birth and perinatal infant survival rate between two groups were compared.Results In 88 cases,prenatal ultrasound diagnosed intralobar pulmonary sequestration（ILS）type in 62 cases（62/88,70.45%）,extralobar pulmonary sequestration（ELS）type I in 19 cases（19/88,21.59%）,and ELS type Ⅱ in 7 cases（7/88,7.95%）.There were 81（81/88,92.05%）live births,5（5/88,5.68%）of induction,and 2（2/88,2.27%）of intrauterine fetal death,respectively.In 44 cases of CVR≥1.6 group,36 cases（36/44,81.82%）had respiratory symptoms after birth,and 39（39/44,88.64%）had combined fetal hydrops.The live birth rate was 84.09%（37/44）.In 44 cases of CVR〈1.6 group,3 cases（3/44,6.82%）had respiratory symptoms after birth and 3（3/44,6.82%）had combined fetal hydrops.The live birth rate was 100%（44/44）.The fetal hydrops rate,incidence of respiratory symptoms after birth and perinatal infant survival rate were statistically different between the two groups（all P〈0.05）.Conclusion Prenatal ultrasound CVR is an effective index for screening and assessing the prognosis in fetus with PS.
出处
《中国介入影像与治疗学》
CSCD
北大核心
2017年第11期677-680,共4页
Chinese Journal of Interventional Imaging and Therapy
关键词
支气管肺隔离症
超声检查
妊娠中期
预后
Bronchopulmonary sequestration
Ultrasonography
Pregnancy trimester
second
Prognosis
