胎儿孤立性胸腔积液11例临床分析

发布时间：2019-04-12 19:20

【摘要】：目的探讨胎儿孤立性胸腔积液的超声特点、病因及妊娠结局。方法对产前超声诊断为孤立性胸腔积液并有染色体结果的11例胎儿的妊娠结局进行回顾性分析,包括胸腔积液检出的孕周、产前超声情况、染色体核型及新生儿出生后健康状况与预后。结果胎儿孤立性胸腔积液11例中,男胎多于女胎,发生部位双侧多于单侧,中/重度发生率高于轻度,主要病因:先天性乳糜胸4例,染色体异常2例,原因未明5例;妊娠结局:11例孤立性胸腔积液中,2例终止妊娠,1例宫内死亡,8例继续妊娠未行宫内治疗至分娩,1例出生后抢救无效死亡,7例存活健康状况良好。结论胎儿孤立性胸腔积液合并染色体异常及双侧重度进展型预后较差,染色体正常胎儿积液好转或稳定者存活率较高。超声诊断分型及临床进展可以指导产前咨询及决策。
[Abstract]:Objective to investigate the ultrasonographic characteristics, etiology and pregnancy outcome of fetal solitary pleural effusions. Methods the pregnancy outcomes of 11 fetuses diagnosed as isolated pleural effusions with chromosome results by prenatal ultrasound were retrospectively analyzed, including the gestational weeks detected by pleural effusion and prenatal ultrasound. Karyotype, postnatal health status and prognosis of newborns. Results in 11 cases of isolated pleural effusions, male fetuses were more than female fetuses, and the occurrence site was more than unilateral. The incidence of moderate / severe pleural effusion was higher than mild. The main causes were congenital chylothorax in 4 cases, chromosome abnormality in 2 cases and unknown cause in 5 cases. Pregnancy outcome: in 11 cases of isolated pleural effusion, 2 cases terminated pregnancy, 1 case died in uterus, 8 cases continued pregnancy without intrauterine treatment until delivery, 1 case died of ineffective rescue after birth, 7 cases survived in good health condition. Conclusion the prognosis of solitary pleural effusion complicated with chromosome abnormality and bilateral severe progressive type is poor. The survival rate of normal chromosome fetal effusion improved or stable is higher. Ultrasonic diagnosis classification and clinical progress can guide prenatal consultation and decision-making.
【作者单位】：广东省广州市妇女儿童医疗中心超声科;
【分类号】：R714.5;R445.1

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