论文部分内容阅读
目的分析胎儿常见胸腔异常的产前超声诊断及随访结果。方法回顾性分析28例胎儿胸腔异常声像图特征,并与病检、随访结果对照,将其引产率与同期所有胎儿结构畸形的引产率对照分析。结果 109例胎儿结构畸形中引产65例,引产率为59.6%;28例胸腔异常回声病例中引产5例,引产率为17.9%,两种情况引产率差异有统计学意义(P<0.05)。产前诊断28例胎儿胸腔异常,其中8例为膈疝,先天性肺囊腺瘤9例,隔离肺5例,隔离肺与肺囊腺瘤的混合病灶1例,胸腔积液5例。随访结果 21例活产,其中7例病变在产前复查自然消失;5例引产,2例出生后死亡。结论常见胎儿胸腔异常的特征性超声图像可作为诊断的重要线索,部分胸腔异常病灶有自然消退的可能。强调对有胸腔异常的胎儿进行动态观察,从而明确疾病转归。
Objective To analyze prenatal ultrasound diagnosis and follow-up results of common fetal pleural abnormalities. Methods A retrospective analysis of 28 cases of fetal chest abnormal sonographic features and disease control and follow-up results, the induction rate of her fetus with all the fetus during the same period of structural abnormality control analysis. Results Among the 109 fetuses with fetal malformation, 65 cases were induced by labor and the rate of induced abortion was 59.6%. Among the 28 cases, 5 cases were induced abortion, and the induced abortion rate was 17.9%. There was significant difference between the two cases (P <0.05). Prenatal diagnosis of 28 cases of fetal thoracic anomalies, of which 8 cases of diaphragmatic hernia, congenital cystadenoma in 9 cases, isolated lung in 5 cases, isolated lung and pulmonary cystadenoma mixed lesions in 1 case, pleural effusion in 5 cases. The follow-up results of 21 cases of live births, of which 7 cases of natural disappearance of prenatal review; 5 cases of induced labor, 2 cases died after birth. Conclusions The characteristic ultrasound images of common fetal pleural abnormalities can be used as important clues to diagnosis. Some abnormal pleural anomalies have the possibility of spontaneous regression. Emphasize the dynamic observation of the fetus with abnormal thorax to clarify the outcome of the disease.