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目的:探讨胎儿肺囊性腺瘤样病变的诊断及预后。方法:近10年常规及系统超声产前筛查发现胎儿肺囊性腺瘤样病变37例,发现病灶后彩色多普勒探查内部血供情况,同时观察并记录有无胎儿水肿及浆膜腔积液等,建议孕妇48 h内行MRI检查,2～4周后复查超声,产后新生儿可行CT检查。结果:胎儿肺单个囊性病灶11例,多囊性病灶26例;左肺20例,右肺17例;超声发现囊性混合回声病灶6例;合并胸水2例,腹水及皮下水肿5例,唇裂1例,羊水过多8例,羊水过少1例;孕妇及家属要求引产14例,自然流产1例,16例随访病灶稳定、变小或消失,新生儿结局良好,6例失访。结论:产前超声及MRI检查可以发现胎儿肺部囊性腺瘤样病变并监测其变化,能够评估胎儿肺部囊性腺瘤样病变的预后。
Objective: To investigate the diagnosis and prognosis of fetal pulmonary cystadenoma-like lesions. Methods: In the past 10 years, 37 cases of cystic adenomatoid lesions of the fetus were found by routine and systematic prenatal ultrasound screening. The internal blood supply of the lesion was detected by color Doppler sonography. At the same time, the presence of fetal edema and serosal cavitation Fluid, etc., it is recommended pregnant women within 48 h line of MRI examination, 2 to 4 weeks after the review of ultrasound, postpartum newborns feasible CT examination. Results: There were 11 cases of single cystic lung lesions, 26 cases of polycystic lesions, 20 cases of left lung and 17 cases of right lung, 6 cases of cystic echogenic lesions by ultrasound, 2 cases of pleural effusion, 5 cases of ascites and subcutaneous edema, 1 case of cleft lip, 8 cases of polyhydramnios and 1 case of oligohydramnios; 14 cases of induced abortion and 1 case of spontaneous abortion were observed in pregnant women and their families; 16 cases were followed up with stable, smaller or disappeared lesions; CONCLUSIONS: Prenatal ultrasound and MRI can detect cystic adenomatoid lesions in the lung and monitor the changes in fetal lung cystadenoma-like lesions.