胎儿先天性肺囊腺瘤畸形的超声诊断分析

目的 探讨产前超声对胎儿先天性肺囊腺瘤畸形的诊断价值及临床意义.方法回顾分析笔者所在医院17例产前诊断为胎儿先天性肺囊腺瘤畸形的临床资料,并进行产后追踪随访,总结其产前超声声像图表现特征,并与病检、随访结果相对照.结果产前超声共诊断胎儿先天性肺囊腺瘤畸形17例,病灶均为单侧,其中左侧15例,右侧2例.Ⅰ型5例,Ⅱ型9例,Ⅲ型3例;病灶直径大小1.6～4.7 cm,平均2.9 cm.2例伴有同侧胸腔少量积液,1例伴有胎儿水肿;1例伴有先天心脏病（法洛四联症）.结论产前超声检查对诊断胎儿先天性肺囊腺瘤畸形有十分重要的意义.

Prenatal ultrasound diagnosis of congenital cystic adenomatiod malformation

Objective To investigate the prenatal ultrasound diagnosis of congenital puhnonary cystic adenomatiod malformation of and its clihical significance. Methods 17 cases diagnosed congenital pulmonary cystic adenomatiod malformation in prenatal diagnosis were retrospectively analyzed and followed up after delivery, then summarized their prenatal sonographic features and compared with Pathology results and follow - up results. Results 17 cases were diagnosed congenital pulmonary cystic adenomatiod malformation in prenatal diagnosis, and lesions are unilateral, 15 cases on the left side, 2 cases on the right side. The type of disease were I （5 cases） , II （9 cases）and III （3 cases）. Lesion diameter size was 1.6 - 4. 7 cm with average of 2. 9 cm. 2 cases accompanied by a small amount of liquid in ipsilateral thoracic, 1 case accompanied by fetal edema; 1 patients accompanied by congenital heart defects （tetralogy of fallot）. Conclusion Prenatal uhrasonogra- phy has very important implications in tile diagnosis of congenital pulmonary cystic adenomatiod malformation.