B超介导下胎儿胸腔积液穿刺术

Centesis of fetal pleural effusion under ultrasound guidance

目的分析B超引导下行胎儿胸腔穿刺的方法及注意事项。方法10例胎儿共行13次B超引导下胎儿胸腔穿刺,抽取胸水行细胞、生化检查及TORCH、衣原体、支原体及细菌培养检查。结果10例行胸穿术的胎儿,9例引产,1例术后39周顺产一活男婴。结论对染色体及结构正常的胸腔积液胎儿行产前胸腔穿刺,可明确病因,缓解胸腔积液对胎肺的压迫,有助新生儿呼吸功能的完善。

Objective To study the method, announcements of the fetal thoracentesis under ultrasound guidance. Methods 13 thoracentesiswere performed on 10 fetuses with pleural effusion. Cytoscoph, biochemical analyses, TORCH, culture of chlamydia, mycoplasma and bacteria were analyzed in the pleural fluid. Results Among them, one female infant was born in a good conition after thoracentesis. Other 9 fetuses were induced labor. Conclusion Thoracentesis can be done in those fetuses with normal chromosomal karyotype and structure. It can remit the compression of the fetal lung, and allow newborns breathe spontaneously or more easily ventilated.