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目的探讨彩色多普勒超声诊断胎儿隔离肺的临床意义。方法利用彩色多普勒超声仪,对胎儿进行二维图像的扫查、测量胎儿的生理指标、细致观察内脏结构及彩色多普勒血流情况,对诊断胎儿隔离肺的病例进行追踪随访。结果 2001年以来共超声诊断胎儿隔离肺13例,其中,右侧胸腔3例,左侧胸腔9例,左侧膈下型1例。肿块直径1.2cm-4.2cm,平均直径2.8cm。12例检出到肿块内血供来自主动脉。6例伴有同侧胸腔少量积液。结论超声检查是一种无创伤性检查方法,是诊断胎儿隔离肺的重要手段,具有重要的临床意义。
Objective To investigate the clinical significance of color Doppler ultrasound in the diagnosis of fetal isolated lung. Methods Color Doppler ultrasound was used to scan two-dimensional images of the fetus, to measure the physiological indexes of the fetus, to observe the visceral structure and color Doppler flow, and to follow-up the cases diagnosed with fetal lung isolation. Results A total of 13 cases of isolated fetal lungs were diagnosed by ultrasound since 2001, including 3 cases of right chest, 9 cases of left chest and 1 case of left subcapsular. Mass diameter 1.2cm-4.2cm, the average diameter of 2.8cm. 12 cases were detected within the blood supply from the aorta. 6 cases with ipsilateral pleural effusion. Conclusion Ultrasonography is a noninvasive method of examination and is an important means of diagnosing fetal lung isolation. It has important clinical significance.