本文選題：囊腺瘤樣畸形　切入點：肺　出處：《中國醫(yī)學(xué)影像學(xué)雜志》2016年05期 　論文類型：期刊論文

【摘要】：目的胎兒先天性肺囊腺瘤樣畸形(CCAM)的早期明確診斷及產(chǎn)前評估對產(chǎn)前咨詢及臨床處理具有重要意義,本文通過產(chǎn)前超聲測量CCAM胎兒肺頭比(CVR),探討CVR在CCAM胎兒預(yù)后評估中的應(yīng)用價值。資料與方法回顧性分析產(chǎn)前超聲診斷為CCAM的84例胎兒的影像與臨床資料,測量胎兒CVR,分為CVR1.6組及CVR≥1.6組,比較兩組胎兒水腫發(fā)生率、產(chǎn)后呼吸系統(tǒng)癥狀發(fā)生率及圍生兒存活率。結(jié)果 84例胎兒中,產(chǎn)前超聲診斷為CCAM I型12例(14.3%),CCAM II型48例(57.1%),CCAM III型24例(28.6%);78例(92.9%)活產(chǎn),4例(4.8%)引產(chǎn),2例(2.4%)死胎;CVR1.6組68例,2例(2.9%)胎兒水腫,3例(4.4%)產(chǎn)后出現(xiàn)呼吸困難等呼吸系統(tǒng)癥狀;CVR≥1.6組16例,12例(75.0%)胎兒水腫,9例(81.8%)產(chǎn)后出現(xiàn)呼吸系統(tǒng)癥狀。兩組胎兒水腫發(fā)生率、產(chǎn)后呼吸系統(tǒng)癥狀發(fā)生率及圍生兒存活率比較,差異有統(tǒng)計學(xué)意義(P0.001)。結(jié)論 CVR≥1.6的CCAM胎兒宮內(nèi)水腫發(fā)生率及產(chǎn)后呼吸系統(tǒng)癥狀發(fā)生率均增高,CVR是評價CCAM胎兒預(yù)后的有效指標(biāo)。
[Abstract]:Objective the early diagnosis and prenatal evaluation of congenital pulmonary cystadenomatoid malformation (CCAM) are of great significance for prenatal consultation and clinical management. In order to evaluate the value of CVR in evaluating the prognosis of CCAM fetus, the imaging and clinical data of 84 fetuses diagnosed as CCAM by prenatal ultrasound were analyzed retrospectively. Fetal CVR was divided into CVR1.6 group and CVR 鈮，

本文編號：1597611