摘要
目的:探讨先天性膈疝畸形胎儿的产前超声声像图特征,以提高其产前检出率。方法:回顾该院2007年6月～2010年6月间4例胎儿先天性膈疝畸形的超声资料,分析其声像学特点。结果:产前诊断胎儿先天性膈疝畸形4例,均为左侧膈疝,声像图特征为:左胸腔内不均质包块及纵隔右移位,不均质包块为膈疝疝入物,为胃、小肠、结肠、肝、脾等,其中2例伴发其他部位畸形,包括足内翻、部分性心内膜垫缺损、淋巴管水囊肿、颈项软组织层增厚,1例伴羊水过多。该组病例产前超声诊断与引产后病理结果符合。结论:产前超声可诊断胎儿先天性膈疝畸形,根据膈疝的部位、大小,腹腔脏器疝入胸腔的多少、膈疝出现的孕周、有无胎儿水肿及羊水的多少、肺的大小等,判断胎儿预后。
Objective：To investigate the prenatal ultrasonic imaging characteristics of congenital diaphragmatic hernia in order to improve the antepartum detection rate.Methods：The ultrasonic data of 4 cases of congenital diaphragmatic hernia during June 2007 to June 2010 were reviewed and analyzed.Results：4 cases of congenital diaphragmatic hernia were diagnosed prenatally,which were all left diaphragm hernia.The ultrasonic characteristics were：heterogeneous mass in left thoracic cavity and mediastinum shifted to the right.The heterogeneous mass were hernia composed of stomach,small intestine,colon,liver and spleen etc.2 cases combined with other abnormalities,including clubfoot,partial endocardial cushion defect,lymphangioma,and thickening of neck soft tissue.1 case accompanied of polyhydramnios.The prenatal diagnosis were all correspond with pathological results of induced labor fetus.Conclusion：The prenatal ultrasonography can diagnose congenital diaphragmatic hernia and predict prognosis according to the location and size of hernia,numbers of abdominal organs herniated to the thoracic cavity,gestational weeks when hernia appears,with or without fetal edema,the amounts of amniotic fluid,and the size of lungs etc.
出处
《中国妇幼保健》
CAS
北大核心
2010年第28期4093-4095,共3页
Maternal and Child Health Care of China
关键词
产前超声检查
先天性膈疝
检出率
Prenatal ultrasonography
Congenital diaphragmatic hernia
Detection rate
