胎儿肺囊性腺瘤的宫内诊断和治疗

Intrauterine diagnosis and therapy of congenital cystic adenomatoid malformation

胎儿肺囊性腺瘤(CCAM)可以在中孕期通过超声检出,多数可在妊娠期消失或缩小,伴有其他畸形者预后不良。超声动态观察有助于判断预后。CCAM伴发胎儿水肿是胎儿窘迫、胎死宫内的前兆。对于CCAM伴发胎儿水肿,可行宫内治疗。对于没有呼吸症状的新生儿,产后CT检查有助于明确病变及确定随访或择期手术。

Congenital cystic adenomatoid malformlion （CCAM） can be detected by prenatal ultrasound scanning. The majority are dissipated or reduced during pregnancy. If CCAM associated with other malformations have poor prognosis. Dynamic observation of ultrasound can help determine the prognosis and the strategy for intervention. When fetal hydrops which is the sign of fetal compromise, intrauterine therapy should be considered. Postpartum CT examination can help identify lung lesions and to determine follow-up time, or elective surgery. K