先天性肺气道畸形体积比在先天性肺气道畸形胎儿围产期管理中的研究进展  

Research progress of congenital pulmonary airway malformation-volume ratio in perinatal management of fetal congenital pulmonary airway malformation

作　　者：杨君婷 刘彩霞[2] Yang Junting;Liu Caixia(Department of Pediatrics,Shanxi Medical University,Taiyuan 030001,China;Department of Cardiothoracic Surgery,Shanxi Children's Hospital,Taiyuan 030025,China)

机构地区：[1]山西医科大学儿科医学系,太原030001 [2]山西省儿童医院心胸外科,太原030025

出　　处：《中华围产医学杂志》2022年第11期866-870,共5页Chinese Journal of Perinatal Medicine

基　　金：山西省留学回国人员科技活动择优资助项目(20210031)。

摘　　要：既往认为先天性肺气道畸形体积比(congenital pulmonary airway malformation-volume ratio,CVR)>1.6或2.0 cm^(2)有助于预测胎儿水肿,且在类固醇激素应用、生后呼吸系统症状和手术时机预测方面均具有指导意义,但最佳CVR阈值仍存在争议。现就CVR在先天性肺气道畸形胎儿预后、类固醇激素应用、生后呼吸系统症状和手术时机预测等方面的应用研究进展进行综述,旨在为先天性肺气道畸形胎儿的围产期管理提供指导。Congenital pulmonary airway malformation-volume ratio(CVR)greater than 1.6 or 2.0 cm²was considered to be helpful in predicting fetal hydrops and could serve as an indicator for steroid application,forecasting respiratory symptoms,and the timing of surgery after birth.However,the optimal CVR threshold remains controversial.This review focuses on the value of CVR in fetal prognosis,steroid administration,and the prediction of postnatal respiratory symptoms and surgical timing in fetuses with congenital pulmonary airway malformation,aiming to guide the perinatal management.

关 键 词：肺囊腺瘤样畸形 先天性 呼吸系统畸形 胎儿水肿 超声检查 产前 试验预期值 围生期医护 

分 类 号：R714.7[医药卫生—妇产科学]