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目的探讨产前超声对胎儿常见胸腔畸形诊断的临床价值。方法对来我院进行产前系统超声检查,发现62例胸腔病变的孕妇进行超声随访和总结分析。结果 2013年6月至2014年6月产前超声筛查17 067例孕妇,发现胸腔异常回声62例(62/17067,0.36%),不包括合并其它畸形;其中先天性肺囊腺瘤35例(35/62,56.5%),伴发胸腔积液4例,胸腹腔积液1例;隔离肺11例(11/62,17.7%),无胸腹腔积液,有肿块不同程度缩小,甚至消失;先天性膈疝13例(13/62,21.0%),1例伴发胸腔积液。超声不能明确诊断2例(2/62,3.2%)。结论产前超声检查在胎儿胸腔病变诊断中作用显著,为临床进一步处理提供可靠依据。
Objective To investigate the clinical value of prenatal ultrasound in diagnosis of common thoracic malformations in fetus. Methods To come to our hospital for prenatal ultrasound examination, found 62 cases of chest pain in women followed up and analyzed by ultrasound. Results From June 2013 to June 2014, 17 067 pregnant women were examined with prenatal ultrasound. 62 cases (62 / 17067,0.36%) of abnormal pleural echoes were found, which did not include other deformities. Among them, 35 cases of congenital cystadenoma (35/62, 56.5%), 4 cases of pleural effusion, 1 case of pleural effusion, 11 cases of isolated lung (11/62, 17.7%), no pleural effusion, Disappeared; congenital diaphragmatic hernia in 13 cases (13/62, 21.0%), 1 case associated with pleural effusion. Ultrasound can not be clearly diagnosed in 2 cases (2 / 62,3.2%). Conclusions Prenatal ultrasonography plays a significant role in the diagnosis of fetal thoracic lesions and provides a reliable basis for clinical further treatment.