32例胎儿肾上腺区包块的声像图分析

发布时间：2018-02-27 18:21

本文关键词： 胎儿肾上腺区包块超声诊断　出处：《中国超声医学杂志》2015年05期 　论文类型：期刊论文

【摘要】：目的探讨胎儿肾上腺区包块的超声表现及诊断价值。方法回顾性分析在我院发现的胎儿肾上腺区包块的超声影像资料及出生后临床诊治结果。结果产前超声发现32例胎儿有肾上腺区包块34个,右侧18例、左侧12例、双侧2例。超声表现囊性20例、实性8例、囊实性回声6例,CDFI扫查内可见血流信号6例。出生后经手术治疗者9例,病理证实神经母细胞肿瘤3例、肾上腺出血2例、隔离肺2例、肾脓肿1例、肝囊肿1例;经保守治疗者23例,临床诊断肾上腺出血20例、隔离肺2例、重复肾1例。产前超声诊断包块为良性30例、包块恶性4例,其与临床诊断不符3例,符合率90.6%。超声表现囊性包块,病理诊断均为良性;超声表现囊实性或实性包块时,病理诊断可为肾上腺出血、隔离肺、肾脓肿或恶性神经母细胞肿瘤。结论产前超声检出肾上腺区包块以良性包块多见,产前超声检查可为临床诊治提供有意义的影像学资料。
[Abstract]:Objective to investigate the ultrasonographic manifestation and diagnostic value of fetal adrenal mass. Methods the ultrasonographic data of fetal adrenal mass found in our hospital and the results of postnatal clinical diagnosis and treatment were retrospectively analyzed. There were 34 adrenal regions in 32 fetuses. There were 18 cases on right side, 12 cases on left side, and 2 cases on bilateral side. Ultrasonic findings were cystic in 20 cases, solid in 8 cases, cystic and solid echo in 6 cases. There were 9 cases of postnatal surgical treatment and 3 cases of pathologically proved neuroblastoma. There were 2 cases of adrenal hemorrhage, 2 cases of isolated lung, 1 case of renal abscess, 1 case of hepatic cyst, 23 cases of conservative treatment, 20 cases of clinically diagnosed adrenal hemorrhage, 2 cases of isolated lung, 1 case of duplicate kidney. There were 4 cases of malignant mass, which did not accord with the clinical diagnosis in 3 cases, and the coincidence rate was 90.6%. Ultrasound showed cystic mass, and the pathological diagnosis was benign, while the pathological diagnosis of cystic mass or solid mass could be diagnosed as adrenal hemorrhage, which could isolate the lung. Conclusion Prenatal ultrasound can detect the adrenal masses as benign masses, and prenatal ultrasonography can provide valuable imaging data for clinical diagnosis and treatment.
【作者单位】：宁波市妇女儿童医院B超室;
【分类号】：R445.1;R714.5

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