發(fā)布時間：2018-04-25 22:40

  本文選題：超聲檢查 + 產前　； 參考：《中國超聲醫(yī)學雜志》2017年07期

【摘要】：目的總結胎兒淚囊突出(DCC)的超聲圖像特征和產前超聲診斷的臨床價值。方法對在我院產前超聲檢查檢出的14例先天性DCC的超聲影像表現、合并異常及臨床隨訪結果進行總結分析。結果胎兒先天性DCC超聲圖像表現:(1)胎兒眼眶內側稍下方可見邊界清晰的類圓形囊性病變,彩色多普勒超聲顯示囊性病變內無血流信號。(2)部分胎兒(4/14)囊性病變內可見點狀強回聲。(3)首次發(fā)現DCC時孕周為25~35周,平均27.6周。(4)以單側和女性胎兒多見(9/14)。(5)單發(fā)淚囊突出多見(12/14)。(6)產前超聲復查發(fā)現5例(5/14)淚囊突出消失。(7)2例(2/14)出生后出現淚囊炎,經抗生素治療或淚囊探通術后緩解。其余12例出生后均無明顯眼部癥狀。結論胎兒淚囊突出產前超聲診斷準確,宮內緩解率高。胎兒DCC及合并異常應進行隨訪,對早期治療有指導意義。
[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.
【作者單位】： 福建醫(yī)科大學附屬漳州市醫(yī)院超聲科;
【分類號】：R445.1;R714.5

【參考文獻】

相關期刊論文 前5條

1 韓立坡;王鳳仙;張瑜;陳會寧;龐微微;史艷英;;先天性淚囊突出治療臨床分析[J];河北醫(yī)科大學學報;2016年04期

2 王菲;陶海;韓毳;;先天淚道發(fā)育不全的臨床特征和致病基因的研究進展[J];中國中醫(yī)眼科雜志;2016年02期

3 曹t，

本文編號：1803330