彩色多普勒超声诊断胎儿隔离肺的体会  

Experience with Color Doppler Diagnosis of Prenatal Pulmonary Sequestration

作　　者：蒋筑丽[1] 喻沁[1] 刘娟[1] 赵春晓[1] 

机构地区：[1]南昌大学第一附属医院超声诊断科,南昌330006

出　　处：《实用临床医学（江西）》2016年第8期67-68,108,共3页Practical Clinical Medicine

摘　　要：目的探讨产前超声诊断胎儿隔离肺的特征及体会,以提高隔离肺产前诊断率并评估预后。方法对12 000例孕妇进行胎儿中晚期超声系统畸形筛查,采用GEV730四维彩色多普勒超声诊断仪,经胎儿四腔心切面,显示两侧的肺组织,观察其大小、回声及其周边情况,是否有异常超声图像,并显示异常图像的血供来源。结果12 000例胎儿中隔离肺13例(男9例,女4例),均为叶外型。11例位于左肺,2例位于右肺,1例合并胎儿同侧胸腔积液。10例隔离肺血供均来源于胸主动脉,3例血供来源于腹主动脉。均于出生后行MRI及选择性动脉造影证实。结论胎儿隔离肺有典型的超声特征,产前超声检查大多可予明确诊断。Objective To explore the characteristics of prenatal pulmonary sequestration with ultrasonography for improving the prenatal diagnosis and assessing the prognosis.Methods The GEV730four-dimensional color Doppler ultrasonic diagnostic apparatus was used for screening fetal malformation in 12 000 pregnant women.The four-chamber view of the fetal heart was used to display the size,echo and surrounding circumstances of bilateral lungs and the source of blood supply in abnormal ultrasound images.Results Among the 12 000 fetuses,extralobar pulmonary sequestration was found in 13（9males and 4females）.Among the 13 cases,sequestration was located in the left lung in 11 and in the right lung in 2.Furthermore,pulmonary sequestration was complicated by ipsilateral pleural effusion in 1fetus.In addition,the blood supply to the sequestration was originated from the thoracic aorta in 10 cases,and from abdominal aorta in 3cases.All the cases were confirmed by MRI and selective arteriography after birth.Conclusion Pulmonary sequestration has typical sonographic features and can be diagnosed by prenatal ultrasonography.

关 键 词：胎儿隔离肺 超声诊断 产前 

分 类 号：R714.5[医药卫生—妇产科学] R445.1[医药卫生—临床医学]