本文關鍵詞： 支氣管肺隔離癥 超聲檢查 妊娠中期 預后　出處：《中國介入影像與治療學》2017年11期 　論文類型：期刊論文

【摘要】：目的通過中孕期超聲測量并計算先天性隔離肺(PS)胎兒肺頭比(CVR)值,探討CVR評估PS胎兒預后風險的價值。方法收集88例中孕期超聲診斷為PS胎兒的超聲及臨床資料,根據(jù)產(chǎn)前測算的胎兒CVR值,分為CVR≥1.6組和CVR1.6組,對比兩組胎兒胎兒水腫發(fā)生率、產(chǎn)后呼吸窘迫癥狀及存活率。結果 88例PS胎兒中,中孕期超聲診斷葉內(nèi)型(ILS)62胎(62/88,70.45%),葉外型(ELS)I型19胎(19/88,21.59%),ELSⅡ型7胎(7/88,7.95%)�；町a(chǎn)81胎(81/88,92.05%),引產(chǎn)5胎(51/88,5.68%),死胎2胎(2/88,2.27%)。CVR≥1.6組44胎,呼吸窘迫發(fā)生率為81.82%(36/44),胎兒水腫發(fā)生率為88.64%(39/44),活產(chǎn)率為84.09%(37/44);CVR1.6組44胎,3胎(3/44,6.82%)產(chǎn)后發(fā)生呼吸窘迫,3胎(3/44,6.82%)發(fā)生胎兒水腫,活產(chǎn)率為100%(44/44)。兩組胎兒水腫發(fā)生率、產(chǎn)后呼吸窘迫發(fā)生率及存活率的差異均有統(tǒng)計學意義(P均0.05)。結論 CVR是產(chǎn)前中孕期超聲篩查評價PS胎兒預后的有效指標。
[Abstract]:Objective to evaluate the value of CVR in evaluating the fetal prognostic risk of PS by measuring and calculating the ratio of fetal lung head to head (CVR) during pregnancy. Methods Eighty-eight cases of PS fetus diagnosed as PS by ultrasound during pregnancy were collected and their clinical data were collected. According to the fetal CVR value measured before birth, the fetus was divided into CVR 鈮，

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