先天性泪囊突出的产前超声观察及相关预后分析

发布时间：2018-04-25 22:40

本文选题：超声检查 + 产前　；参考：《中国超声医学杂志》2017年07期

【摘要】：目的总结胎儿泪囊突出(DCC)的超声图像特征和产前超声诊断的临床价值。方法对在我院产前超声检查检出的14例先天性DCC的超声影像表现、合并异常及临床随访结果进行总结分析。结果胎儿先天性DCC超声图像表现:(1)胎儿眼眶内侧稍下方可见边界清晰的类圆形囊性病变,彩色多普勒超声显示囊性病变内无血流信号。(2)部分胎儿(4/14)囊性病变内可见点状强回声。(3)首次发现DCC时孕周为25~35周,平均27.6周。(4)以单侧和女性胎儿多见(9/14)。(5)单发泪囊突出多见(12/14)。(6)产前超声复查发现5例(5/14)泪囊突出消失。(7)2例(2/14)出生后出现泪囊炎,经抗生素治疗或泪囊探通术后缓解。其余12例出生后均无明显眼部症状。结论胎儿泪囊突出产前超声诊断准确,宫内缓解率高。胎儿DCC及合并异常应进行随访,对早期治疗有指导意义。
[Abstract]:Objective to summarize the ultrasonographic features of fetal lacrimal sac protrusion (DCCs) and the clinical value of prenatal ultrasound diagnosis. Methods the ultrasonographic findings of 14 cases of congenital DCC diagnosed by prenatal ultrasound in our hospital were summarized and analyzed. Results the fetal congenital DCC imaging showed that the fetus had circular cystic lesions with clear boundary just below the medial side of the orbit. Color Doppler ultrasound showed no blood flow signal in cystic lesions. (14 / 14) in some fetal lesions, there were dotted hyperechoic echoes in cystic lesions.) the gestational week was 2535 weeks when DCC was first found. The average value of 27.6 weeks was 27.6 weeks. 4) unilateral and female fetuses were more common in 9 / 14. 5) single lacrimal sac herniation was 12 / 14%. 6) Prenatal ultrasound reexamination found 5 / 14) dacryocystitis disappeared in 2 cases (2 / 14). Dacryocystitis occurred after birth and was relieved after antibiotic treatment or dacryocystorhinostomy. The other 12 cases had no obvious ocular symptoms after birth. Conclusion the diagnosis of fetal lacrimal sac protrusion by prenatal ultrasound is accurate and the rate of intrauterine remission is high. Fetal DCC and associated abnormalities should be followed up, which has guiding significance for early treatment.
【作者单位】：福建医科大学附属漳州市医院超声科;
【分类号】：R445.1;R714.5

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