产前超声测量肺头比值评价先天性肺隔离症胎儿预后

发布时间：2018-02-28 23:25

  本文关键词： 支气管肺隔离症 超声检查 妊娠中期 预后　出处：《中国介入影像与治疗学》2017年11期 　论文类型：期刊论文

【摘要】：目的通过中孕期超声测量并计算先天性隔离肺(PS)胎儿肺头比(CVR)值,探讨CVR评估PS胎儿预后风险的价值。方法收集88例中孕期超声诊断为PS胎儿的超声及临床资料,根据产前测算的胎儿CVR值,分为CVR≥1.6组和CVR1.6组,对比两组胎儿胎儿水肿发生率、产后呼吸窘迫症状及存活率。结果 88例PS胎儿中,中孕期超声诊断叶内型(ILS)62胎(62/88,70.45%),叶外型(ELS)I型19胎(19/88,21.59%),ELSⅡ型7胎(7/88,7.95%)。活产81胎(81/88,92.05%),引产5胎(51/88,5.68%),死胎2胎(2/88,2.27%)。CVR≥1.6组44胎,呼吸窘迫发生率为81.82%(36/44),胎儿水肿发生率为88.64%(39/44),活产率为84.09%(37/44);CVR1.6组44胎,3胎(3/44,6.82%)产后发生呼吸窘迫,3胎(3/44,6.82%)发生胎儿水肿,活产率为100%(44/44)。两组胎儿水肿发生率、产后呼吸窘迫发生率及存活率的差异均有统计学意义(P均0.05)。结论 CVR是产前中孕期超声筛查评价PS胎儿预后的有效指标。
[Abstract]:Objective to evaluate the value of CVR in evaluating the fetal prognostic risk of PS by measuring and calculating the ratio of fetal lung head to head (CVR) during pregnancy. Methods Eighty-eight cases of PS fetus diagnosed as PS by ultrasound during pregnancy were collected and their clinical data were collected. According to the fetal CVR value measured before birth, the fetus was divided into CVR 鈮，

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