胎儿肺囊腺瘤畸形的产前超声诊断与分型

发布时间：2018-06-14 09:47

本文选题：胎儿肺囊腺瘤畸形 + 产前超声诊断　；参考：《临床医药文献电子杂志》2016年34期

【摘要】：目的评价产前超声诊断胎儿肺囊腺瘤畸形的临床价值以及诊断分型的准确性,为临床诊断工作提供指导。方法选取我院2011年3月~2016年3月进产前超声诊断为胎儿肺囊腺瘤畸形的患者35例为研究对象,进行动态观察和跟踪随访。并将诊断分型的结果与胎儿出生后的实际情况相比较。结果引产或生产后的检查结果显示,33例胎儿为肺囊腺瘤畸形,产前超声诊断的准确率为94.29%(33/35);产前超声诊断显示I型2例、II型12例、III型21例,追踪结果显示1例II型肺囊腺瘤畸形(肺隔离症)与1例III型肺囊腺瘤畸形(先天性膈疝)为误诊,超声诊断的分型符合率为94.29%,误诊率为5.71%。结论产前超声诊断胎儿肺囊腺瘤畸形准确率较高,对于诊断及改善预后意义重大,极具临床推广价值。
[Abstract]:Objective to evaluate the clinical value of prenatal ultrasound in diagnosis of fetal pulmonary cystadenoma and to provide guidance for clinical diagnosis. Methods 35 cases of fetal pulmonary cystadenoma malformation diagnosed by prenatal ultrasound from March 2011 to March 2016 in our hospital were selected for dynamic observation and follow-up. The results of diagnosis and typing were compared with the actual situation of fetus after birth. Results after induced labor or labor, 33 fetuses were found to be pulmonary cystadenoma malformations, and the accuracy of prenatal ultrasound diagnosis was 94.293.35%, and 2 cases of type I and 12 cases of type III were diagnosed by prenatal ultrasound. The results showed that one case of type II pulmonary cystadenoma malformation (pulmonary isolation) and one case of type III pulmonary cystadenoma malformation (congenital diaphragmatic hernia) were misdiagnosed. The classification coincidence rate of ultrasonic diagnosis was 94.29 and the misdiagnosis rate was 5.71%. Conclusion the accuracy of prenatal ultrasound in diagnosis of fetal pulmonary cystadenoma malformation is high, which is of great significance for diagnosis and improvement of prognosis.
【作者单位】：陕西省澄城县森工医院;
【分类号】：R445.1;R714.5

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