先天性膈疝的宫内诊断和治疗

影响先天性膈疝(CDH)预后的主要因素是肺发育不良和肺动脉高压,目前各种出生后治疗手段均不能直接、立即改变已经存在的肺发育不良状态,故无法从根本上改善严重CDH的预后。宫内诊断并适时进行干预可能成为CDH有效的一种治疗手段。文章介绍了超声及MR I检查在CDH宫内诊断与肺发育程度评估方面的应用、以胎儿镜下胎儿气管球囊封堵术为重点的宫内干预及子宫外产时处理技术的应用。

Intrauterine diagnosis and treatment of congenital diaphragmatic hernia

The main factors that influence the prognosis of congenital diaphragmatic hernia(CDH),CDH are the lung hyperplasia and hypertension of the pulmonary artery.These can not be corrected night after birth by all the methods of treatment.So the prognosis of severe CDH has not been changed.Prenatal diagnosis and appropriate intervention on time may be effective.This paper introduces the use of ultrasound and MRI for in utero diagnosis and evaluation of the lung development and the application of fetoscopic endolu...