摘要
目的探讨肺头比(CVR)在胎儿隔离肺预后评估中的价值。方法分析广东省妇幼保健院2010年5月至2013年6月产前超声诊断为隔离肺胎儿共75例,测量胎儿CVR,追踪其临床预后。结果 75例隔离肺胎儿中,62例CVR<1.6,孕期均无出现水肿,出生后均存活且无呼吸系统症状;13例CVR≥1.6,其中7例(53.8%,7/13)合并胎儿水肿,11例存活,9例(69.2%,9/13)出生后出现呼吸系统症状,2例引产。两组胎儿水肿发生率及出生后呼吸系统症状发生率χ2分别为30.372及36.13,差异均具有统计学意义(P<0.01)。48例出生后行手术治疗,所有手术病例全部治愈,病理检查42例为单纯隔离肺,6例为隔离肺合并肺囊腺瘤。结论不合并胎儿水肿的隔离肺预后良好,CVR是产前评估胎儿隔离肺预后的有效指标,CVR≥1.6与胎儿水肿及出生后出现症状相关。
Objective To investigate the value of congenital cystic adenomatoid malformation （CCAM） volume ratio （CVR） in pulmonary sequestrations （PS） prognostic of the fetus.Methods75 cases of fetal PS diagnosed by prenatal ultrasound in Guangdong Women and Children Hospital from May 2010 to June 2013 were measured of the fetal CVR, their clinical outcomes were observed.ResultsIn 75 cases of fetal PS, 62 cases of CVR〈1.6 survived with no edema during pregnancy and without respiratory symptoms after birth; Among the 13 cases of CVR≥1.6, 7 patients （53.8%, 7/13） combined with fetal hydrops, 11 patients survived, 9 cases （69.2%, 9/13） with respiratory symptoms after birth, 2 cases of abortion.The incidence of fetal hydrops groups and incidence of respiratory symptoms after birth（χ^2=30.372 and 36.13,P value〈0.01） were statistically different.48 cases received surgery after birth and all surgical cases were cured. Pathological examination indicated 42 cases were pathological PS alone while 6 cases of PS co-existing with CCAM.ConclusionPS specific absence of hydrop was a congenital disorder with an excellent prognosis. CVR was a valid indicator of PS prenatal assessment, CVR≥1.6 was associated with fetal hydrops and postnatal symptoms.
出处
《中华临床医师杂志（电子版）》
CAS
2014年第13期59-62,共4页
Chinese Journal of Clinicians(Electronic Edition)
关键词
隔离肺
超声检查
产前
肺头比
Pulmonary sequestrations
Ultrasound,prenatal diagnosis
Congenital cystic adenomatoid malformation volume ratio
