产前超声对胎儿肺囊腺瘤与隔离肺临床鉴别诊断价值  

Value of prenatal ultrasound in the clinical differential diagnosis of fetal lung cystadenoma and isolated lung

作　　者：曾庆新[1] 任苓[1] 程玲[1] 程芳玲[1] 吴牡丹[1] 邱钧钰 ZENG Qingxin;REN Ling;CHENG Ling;CHENG Fangling;WU Mudan;QIU Junyu(Department of Ultrasound Medicine,the First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院超声医学科,江西赣州341000

出　　处：《中国现代医生》2020年第33期138-140,144,共4页China Modern Doctor

摘　　要：目的分析胎儿肺囊腺瘤与隔离肺临床鉴别诊断中产前超声价值。方法回顾性选取2017年6月~2019年12月本院行产前超声检查的中晚期孕妇41824例,分析其产前超声诊断结果、超声图像特征。结果41824例孕妇中,产前超声诊断胎儿肺囊腺瘤与隔离肺共33例,发生率为0.08%,其中肺囊腺瘤23例,隔离肺10例,发生率分别为0.05%、0.03%。肺囊腺瘤患者的单侧发病率显著低于隔离肺患者(P<0.05),双侧发病率显著高于隔离肺患者(P<0.05),心脏移位发生率显著高于隔离肺患者(P<0.05),引产证实率显著低于隔离肺患者(P<0.05)。肺囊腺瘤23例中,在CDFI分型方面,Ⅰ型4例(17.4%),超声表现为胎儿单侧肺混合性改变,呈囊实性,囊性暗区最大直径为3 cm;Ⅱ型14例(60.9%),其中单侧肺10例,双侧肺2例,超声表现为囊性暗区最大直径为1.3 cm;Ⅲ型5例(21.7%),超声表现为胎儿实质性肿块,囊性结构不显著,CDFI提示病灶滋养血管从肺动脉来源。隔离肺10例中,超声表现为单侧肺内强回声包块,均匀,CDFI提示病灶滋养血管从胸主动脉来源。结论胎儿肺囊腺瘤与隔离肺临床鉴别诊断中产前超声价值高。Objective To analyze the value of prenatal ultrasound in the clinical differential diagnosis of fetal lung cystadenoma and isolated lung.Methods A total of 41824 pregnant women in the middle and late stages who were given prenatal ultrasound examination in our hospital from June 2017 to December 2019 were retrospectively selected.The results of prenatal ultrasound diagnosis and ultrasound image characteristics were analyzed.Results Among 41824 pregnant women,33 cases of fetal lung cystadenoma and isolated lung were diagnosed by prenatal ultrasound,and the incidence rate was 0.08%.Among them,there were 23 cases of lung cystadenoma and 10 cases of isolated lung,and the incidence rate was 0.05%and 0.03%,respectively.The unilateral incidence rate of patients with lung cystadenoma was significantly lower than that of patients with isolated lung(P<0.05).The bilateral incidence rate was significantly higher than that in the patients with isolated lung(P<0.05),and the incidence rate of heart displacement was significantly higher than that in the patients with isolated lungs(P<0.05).The confirmed rate of induced labor was significantly lower than that in the patients with isolated lung(P<0.05).Among 23 cases of lung cystadenoma,in terms of CDFI typing,4 cases(17.4%)were in type I.Ultrasound manifestations were mixed changes in fetal unilateral lungs,which were cystic and solid.The maximum diameter of the cystic dark zone was 3 cm;14 cases were in typeⅡ(60.9%).There were 10 cases of unilateral lung and 2 cases of bilateral lungs.Ultrasound manifestations were the maximum diameter of cystic dark area of 1.3 cm;5 cases were in typeⅢ(21.7%).Ultrasound manifestations were fetal solid mass with insignificant cystic structure.CDFI suggested that the nourishing blood vessels of the lesion originated from the pulmonary artery.In 10 cases of isolated lung,ultrasound manifestations were a unilateral strong echogenic mass in the unilateral lung.CDFI suggested that the nourishing vessels of the lesion originated from the thoracic

关 键 词：胎儿肺囊腺瘤 隔离肺 鉴别诊断 产前超声 诊断结果 图像特征 

分 类 号：R445.1[医药卫生—影像医学与核医学]