| 赵密,杨小红,赵胜,李丽,冯倩.产前超声诊断胎儿先天性高位气道阻塞综合征[J].中国医学影像技术,2023,39(10):1541~1544 |
| 产前超声诊断胎儿先天性高位气道阻塞综合征 |
| Prenatal ultrasonic diagnosis of congenital high airway obstruction syndrome |
| 投稿时间：2022-11-25 修订日期：2023-09-15 |
| DOI：10.13929/j.issn.1003-3289.2023.10.021 |
| 中文关键词: 胎儿 气道阻塞 超声检查,产前 |
| 英文关键词:fetus airway obstruction ultrasonography, prenatal |
| 基金项目: |
|
| 摘要点击次数: 785 |
| 全文下载次数: 682 |
| 中文摘要: |
| 目的 观察产前超声诊断胎儿先天性高位气道阻塞综合征(CHAOS)的价值。方法 回顾性分析24胎经尸检病理学确诊高位气道阻塞胎儿的产前超声资料,与病理学结果进行对照,评估产前超声诊断CHAOS的价值。结果 24胎高位气道阻塞中,21胎CHAOS(21/24,87.50%)经产前超声检出,其中19胎(19/21,90.48%)产前超声诊断为喉阻塞、2胎(2/21,9.52%)诊断为气管阻塞,均与病理学结果相符。胎儿CHAOS产前超声特征性改变包括21胎(21/21,100%)肺水肿、20胎(20/21,95.24%)心功能减退、19胎(19/21,90.48%)胎儿水肿;3胎产前未检出高位气道阻塞胎儿超声均未见以上CHAOS特征性改变。结论 产前超声可显示CHAOS特征性改变,可用于初步诊断胎儿CHAOS。 |
| 英文摘要: |
| Objective To explore the value of prenatal ultrasound for diagnosis of fetal congenital high airway obstruction syndrome (CHAOS). Methods Prenatal ultrasound data of 24 fetuses with high airway abstruction proved by autopsy pathology were retrospectively analyzed. The value of prenatal ultrasound for diagnosing CHAOS was evaluated comparing with pathological results. Results Among 24 fetuses with high airway abstruction, prenatal ultrasound detected 21 (21/24, 87.50%) fetal CHAOS, including 19 (19/21, 90.48%) laryngeal obstruction and 2 (2/21, 9.52%) tracheal obstruction, all being consistent with pathological findings. The characteristic ultrasonic manifestations of fetal CHAOS included pulmonary edema in 21 fetuses (21/21, 100%), cardiac dysfunction in 20 fetuses (20/21, 95.24%) and fetal edema in 19 fetuses (19/21, 90.48%). Prenatal ultrasound missed fetal high airway abstruction in 3 fetuses since all without the above characteristic changes of CHAOS. Conclusion Prenatal ultrasound could display characteristic changes and preliminarily diagnosis fetal CHAOS. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
