产前超声对胎儿肺部肿块的诊断及监测  

Diagnosis and monitoring of fetal lung mass by prenatal ultrasound

作　　者：胡永铭[1] 陈新[1] 俞钢[2] 邹勤 康岚[1] 葛菲[1] 

机构地区：[1]海口市妇幼保健院超声影像科,海南海口570203 [2]广东省妇幼保健院胎儿医学科,广东广州511422 [3]武警海南省总队医院特诊科,海南海口570203

出　　处：《海南医学》2015年第21期3157-3159,共3页Hainan Medical Journal

基　　金：海南省自然科学基金(编号:20158269)

摘　　要：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。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.

关 键 词：产前超声 诊断 监测 胎儿肺部肿块 

分 类 号：R714.5[医药卫生—妇产科学]