胎儿肺囊腺瘤样畸形的超声诊断及临床预后分析.docVIP

精品论文 参考文献 胎儿肺囊腺瘤样畸形的超声诊断及临床预后分析 1北京市海淀区妇幼保健院超声科 北京100080 2北京市海淀区妇幼保健院病理科 北京100080 课题来源：北京市海淀区科技发展计划项目（ 作者简介：周秀云，女，籍贯:山东，副主任医师，本科学历，主要从事胎儿医学研究。 摘要 目的：探讨中孕期（22-24周）胎儿肺囊腺瘤样畸形的超声诊断及临床预后分析。方法：回顾分析我院2010年1月至2013年12月，中孕期(22-24周)超声筛查65590例，诊断肺囊腺瘤样畸形22例，均随访至出生或引产后病理证实。结果：中孕期（22-24周）筛查，超声诊断22例肺囊腺瘤样畸形，10例晚孕或生后消失；2例生后CT观察随访；2例手术，术后患儿一般状况良好；4例合并胎儿水肿及心脏、纵隔移位，孕妇选择性终止妊娠；2例合并心脏畸形，孕妇选择终止妊娠；1例晚孕复查为隔离肺；1例3周后复查诊断为膈疝合并胎儿水肿、羊水过多，18-三体，终止妊娠。结论：中孕期筛查胎儿肺囊腺瘤样畸形超声诊断符合率90.9%（20/22），63.6%（14/22）无合并症的胎儿肺囊腺瘤样畸形预后良好。 关键词 中孕筛查；肺囊腺瘤样畸形；超声诊断；临床预后 【中图分类号】R439.5【文献标识码】A【文章编号】1001-5213(2016)09-0077-02 Analysis of Fetal Cystic Adenomatoid Malformation of Ultrasonic Diagnosis and Clinical Prognosis ZHOU Xiuyun1 ，ZHAO Huawei1 ，WANG Yingnan2 1 Department of Ultrasound，Maternal and Child Health Hospital of Haidian District，Beijing，100080，China 2 Department of Pathology，Maternal and Child Health Hospital of Haidian District，Beijing，100080，China Abstract Objective: To investigate the ultrasound diagnosis and prognosis evaluation of prenatal screening of fetal pulmonary cystadenoma（22-24w）. Method：Retrospective analysis of our hospital from December 2013 to January 2010，65590 pregnant women in pregnancy screening，Ultrasound diagnosis of pulmonary adenoma in 22 cases，Were followed up until the birth or induction of labor. Results：Middle pregnancy (22-24 week) screening，Ultrasound diagnosis of 22 cases of pulmonary cystadenoma，10 cases of late pregnancy and disappearance；2 cases were followed up after CT observation；2 cases operation，after operation, the children were generally in good condition；4 cases complicated with fetal edema，And heart and mediastinal shift，Selective termination of pregnancy．1 cases of late pregnancy were reviewed for the isolated lung . The diagnosis of 1 cases of diaphragmatic hernia and 3 weeks for fetal edema，polyhydramnios，18- three body，termination of pregnancy. Conclusion：In line with the rate of 90.9%（20/22） in the prenatal scr