Application of prenatal ultrasound in diagnosis of congenital diaphragm hernia
-
摘要:
目的探讨产前超声检查在胎儿先天性膈疝诊断中的应用价值。 方法回顾性分析20例CDH胎儿的超声资料,并与引产后尸体解剖结果及手术结果进行对照分析。 结果20例CDH中,产前超声检出19例,平均检出时间26.1周。左侧膈疝15例,右侧膈疝4例。8例合并其他畸形。其中合并消化系统畸形3例,生殖泌尿系统畸形2例,心血管系统畸形2例,骨骼系统畸形1例。漏诊1例。 结论产前超声检查对CDH的筛查有重要的临床价值。 Abstract:Objective To evaluate the value of prenatal ultrasound in diagnosis of congenital diaphragm hernia. Methods The ultrasonic data of twenty fetuses with CDH were analyzed retrospectively in this study, the results were compared with postnatal autopsy and operation. Results In 20 fetuses with CDH, 19 cases of CDH were detected by prenatal ultrasound diagnosis. Average detection time was 26.1 weeks. 15 located on the left, 4 on the right. 8 cases combined with other malformations. 3 cases of digestive system malformation, 2 cases of urogenital system malformation, 2 cases of cardiovascular system malformation, 1 case of skeletal system malformation. 1 case was missed diagnosis. Conclusion Prenatal ultrasound has important clinical value in screening fetal CDH. -
Key words:
- Ultrasonography /
- prenatal /
- diaphragm hernia /
- congenital /
- Autopsy
-
[1] 严英榴, 杨秀雄, 沈理, 等. 产前超声诊断学[M]. 北京: 人民卫生出版社, 2003: 325. [2] 谢红宁, 蔡文, 孔秋英. 胎儿膈疝的产前超声诊断[J]. 中华超声影像学杂志, 2003, 12(12): 762-3. http://www.cnki.com.cn/Article/CJFDTOTAL-ZYYZ201103009.htm [3] 乔宠, 刘子建, Jani J. 先天性膈疝的产前诊断及宫内治疗进展[J]. 中华妇产科杂志, 2007, 42(8): 563-6. http://www.cnki.com.cn/Article/CJFDTOTAL-ZHFC200708022.htm [4] 接连利, 许燕, 陈希平, 等. 产前超声诊断胎儿先天性膈疝的价值[J]. 中华超声影像学杂志, 2008, 17(3): 234-6. http://www.cnki.com.cn/Article/CJFDTOTAL-LCCY201002029.htm [5] 潘玉萍, 蔡爱露, 王冰, 等. 胎儿膈疝的产前超声诊断[J]. 中国医学影像学杂志, 2011, 19(3): 181-4. http://www.cnki.com.cn/Article/CJFDTOTAL-ZYYZ201103009.htm [6] Jani JC, Canni M, Peralta CF, et al. Congenital diaphragmatic hernia: comparison of 3DUS and Mr imagine assessments[J]. Radiology, 2007, 244(2): 575-82. doi: 10.1148/radiol.2442061158 [7] Jeanty C, Nien JK, Espinoza J, et al. Pleural and pericardial effusion:apotential ultrasonographc marker for the prenatal differential diagnosis between congenital diaphragmatic eventration and congenital diaphragmatic nernia [J]. Ultrasound Obstet Gyenecol, 2007, 29(4): 378-87. doi: 10.1002/(ISSN)1469-0705 [8] 陈钟萍, 张海春, 马小燕, 等. 产前超声诊断胎儿先天性膈膨升[J]. 中华全科医学, 2011, 9(2): 329, 封3-329. http://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201102093.htm [9] 闫玲, 于新凯, 孙建霞, 等. 超声诊断胎儿肺囊腺瘤1例[J]. 中国医学影像技术, 2010, 26(7): 1324-5. http://www.cnki.com.cn/Article/CJFDTOTAL-ZYXX201007053.htm