胎儿肺囊性腺瘤样病变的超声诊断(附33例报告并文献复习)

Ultrasoungraphy diagnosis of fetal congenital cystic adenomatoid malformation of the lung( reoport of 33 cases and literature review)

目的探讨胎儿肺囊性腺瘤样病变（CCAM）的超声诊断价值及其预后情况。方法对我院2013年1月-2014年12月在产前超声检查中发现的33例胎儿先天性肺囊性腺瘤样病变的声像图征象及其随访结果进行回顾性分析。结果本组33例胎儿CCAM,左侧18例,右侧15例;Ⅰ型3例,Ⅱ型18例,Ⅲ型12例。随访过程中18例引产,1例出生后CT证实为肺隔离症,12例肿块逐渐减小直至消失,另2例失访。结论超声检查是诊断胎儿CCAM的重要手段,并可协助临床判断CCAM胎儿的预后与转归。

Objective To discuss the ultrasound diagnostic value and prognosis of fetal congenital cystic adenomatoid malformation of the lung （CCAM）. Methods The uhrasonographic signs and results of follow-up in 33 cases of CCAM, which were found in prenatal ultrasound examination from January 2013 to December 2014 in our hospital, were analyzed retrospectively. Results Within the group of 33 cases of CCAM, 18 cases were on the left side, 15 cases on the fight side; Type I was found in 3 cases, Type II , type in 18, and Type III in 12. In the process of follow-up, 18 cases were induced labor, 1 case was proved to be pulmomary sequestration by CT scan after birth, the tumors of 12 cases were gradually decreased until it disappeared, and the other 2 cases were lost to follow-up. Conclusion Ultrasound examination is an important measure for the diagnosis of CCAM, and enable to help clinics to evaluate CCAM fetal prognosis and outcome.