产前超声对胎儿腹部囊性包块的诊断价值分析  

Diagnostic value of prenatal ultrasound in fetal abdominal cystic mass

作　　者：陈亚岩 柏桂森 廖佳音 熊艳 CHEN Ya-yan;BAI Gui-sen;LIAO Jia-yin(Ultrasound Department,Longhua District Maternal and Child Health Hospital,Shenzhen 518109,China)

机构地区：[1]深圳市龙华区妇幼保健院超声科,518109

出　　处：《中国实用医药》2023年第10期92-94,共3页China Practical Medicine

摘　　要：目的 探讨产前超声对胎儿腹部囊性包块的诊断价值。方法 回顾性分析91例明确诊断胎儿腹部囊性包块产妇的临床资料,所有胎儿产前超声诊断均使用Voluson E10、Voluson E8型彩色多普勒超声诊断仪进行扫查。分析囊性包块来源的产前超声及产后检查结果、产前超声诊断时间分布情况及不同组织器官系统来源囊性包块超声诊断特点。结果 产前超声对胆道源性、肝源性、肠源性、泌尿系统、生殖系统来源囊性包块的诊断准确率分别为66.7%、82.8%、73.7%、87.5%、86.7%。胆道源性囊性包块诊断时间为孕(28.5±2.3)周,肝源性囊性包块诊断时间为孕(29.3±3.5)周,肠源性囊性包块诊断时间为孕(31.1±2.4)周,泌尿系统囊性包块诊断时间为孕(33.5±4.6)周,生殖系统囊性包块诊断时间为孕(30.2±4.5)周,其中胆道源性囊性包块诊断时间相对较早,泌尿系统囊性包块诊断时间最晚。91例胎儿中,产前超声诊断准确73例,诊断准确率为80.2%。结论 产前超声检查在胎儿腹部囊性包块诊断中具有一定的临床意义,其可有效指导临床诊断与治疗,对预测胎儿发育、评估预后有一定价值。Objective To discuss the diagnostic value of prenatal ultrasound in fetal abdominal cystic mass.Methods The clinical data of 91 mothers with clearly diagnosed fetal abdominal cystic masses were retrospectively analyzed,and all fetuses were scanned by prenatal ultrasound diagnosis using Voluson E10 and Voluson E8 color Doppler ultrasound diagnostic instruments.The results of prenatal ultrasound and postnatal examination of cystic masses,the time distribution of prenatal ultrasound diagnosis,and the ultrasound diagnostic characteristics of cystic masses from different tissue and organ systems were analyzed.Results The diagnostic accuracy of prenatal ultrasound for cystic masses of biliary,hepatic,intestinal,urinary system,and genital system origin were 66.7%,82.8%,73.7%,87.5%,and 86.7%,respectively.The diagnosis of cystic masses of biliary origin was at(28.5±2.3)weeks of gestation,of hepatic origin at(29.3±3.5)weeks of gestation,of intestinal origin at(31.1±2.4)weeks of gestation,of urinary at(33.5±4.6)weeks of gestation,and of genital system origin at(30.2±4.5)weeks of gestation,where the diagnosis of cystic masses of biliary origin was relatively early,and the diagnosis of cystic masses of the urinary system was the latest.Among 91 fetuses,prenatal ultrasound diagnosis was accurate in 73 cases,with a diagnostic accuracy rate of 80.2%.Conclusion Prenatal ultrasound has certain clinical significance in the diagnosis of fetal abdominal cystic mass,which can effectively guide clinical diagnosis and treatment,and has certain value in predicting fetal development and evaluating prognosis.

关 键 词：产前超声 胎儿 腹部 囊性包块 临床诊治 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]