产前超声诊断胎儿先天性肺囊性腺瘤样畸形的临床分析  

Clinical Analysis of Prenatal Ultrasound Diagnosis of Fetal Congenital Cystic Adenomatoid Malformation

作　　者：莫遵玉 

机构地区：[1]龙岩市妇幼保健院,福建龙岩364000

出　　处：《中外医学研究》2017年第32期99-100,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析产前超声诊断胎儿先天性肺囊性腺瘤样畸形(CCAM)的价值。方法:回顾性分析2015年9月-2017年1月34例孕妇临床资料,所有孕妇产前均接受超声诊断CCAM,分析CCAM声像图。结果:34胎中32例确诊为CCAM,超声诊断符合率为94.1%(32/34),3胎(9.4%)Ⅰ型,17胎(53.1%)Ⅱ型,12胎(37.5%)Ⅲ型。并发症主要表现为纵隔移位(78.1%),其次为羊水偏多(31.3%)、腹水(18.8%)。32胎CCAM,17胎(53.1%)活产,15例(46.9%)引产。结论:产前超声诊断CCAM,对评估胎儿预后,具有重要意义。Objective：To analyze the value of prenatal ultrasound in diagnosis of fetal congenital cystic adenomatoid malformation（CCAM）.Method：The clinical data of 34 cases of pregnant women from September 2015 to January 2017 were retrospectively analyzed,all cases were diagnosed with CCAM by ultrasound,and the CCAM sonogram was analyzed.Result：32 cases were diagnosed as CCAM in 34 fetuses,the ultrasound diagnosis coincidence rate was 94.1%（32/34）,3 fetuses（9.4%） were typeⅠ,17 fetuses（53.1%） were type Ⅱ,12 fetuses（37.5%） were type Ⅲ.The main complications were fetal mediastinal displacement（78.1%）,followed by amniotic fluid（31.3%）,ascites（18.8%）.32 fetuses CCAM,17 cases（53.1%） live births,and 15 cases（46.9%） induced labor.Conclusion：Prenatal ultrasound diagnosis of CCAM is important for evaluating the prognosis of fetus.

关 键 词：超声诊断 先天性肺囊性腺瘤样畸形 纵隔移位 

分 类 号：R714.5[医药卫生—妇产科学]