胎儿先天性肺囊腺瘤样畸形的诊断与治疗进展

Congenital Cystic Adenomatoid Malformation of the Lung in the Diagnosis and Treatment Progress

肺的良好发育为胎儿出生后成活的一个决定性因素,若是胎儿时期出现肺部发育异常,则会对胎儿生长发育构成严重威胁。胎儿期先天性肺囊腺瘤样畸形(CCAM)比较少见,死亡率相对较高,多发生在单侧或者是只累及一叶肺,少数发生在双肺。一般情况下,肺部发育存在缺陷,在肿物不断增大时,会发生纵膈偏移,严重时会造成心脏受压移位,造成胎儿血流动力学改变。严重影响着胎儿的生命健康,因此临床提出产前诊断是十分必要的,可提高临床预后治疗效果。本文笔者综合分析胎儿先天性肺囊腺瘤样畸形发生病因、诊断以及预后治疗进展等方面。

The good development of the lung is a decisive factor for the survival of the fetus after birth. If the lung development abnormality occurs during the fetal period, it will pose a serious threat to the growth and development of the fetus. Fetal congenital pulmonary cystadenomatoid malformation （CCAM） is relatively rare, relatively high mortality, occurred in the unilateral or only involving the one leaf lung, a few occur in the lungs. Under normal circumstances, there must be developmental defects in the tumor is increasing, mediastinal shift occurs, which will cause severe cardiac pressure shift, resulting in fetal hemodynamic changes. Seriously affecting the life and health of the fetus, so clinical prenatal diagnosis isvery necessary to improve the clinical outcome of treatment. The author of this comprehensive analysis of fetal congenital pulmonary cystadenoma-like abnormalities in the etiology, diagnosis and prognosis of treatment progress.