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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Prenatal sonographic markers of the outcome in fetuses with bronchopulmonary sequestration
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Prenatal sonographic markers of the outcome in fetuses with bronchopulmonary sequestration

机译:胎儿的产前超声标记与支气管肺封存的胎儿结果

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Abstract Purpose To evaluate the prenatal sonographic predictive markers of the outcome in fetuses with bronchopulmonary sequestration (BPS). Methods BPS size and diameter of the feeding artery (FA) were measured prenatally and postnatally. Velocity of the FA and the left ventricular‐modified myocardial performance index (LV mod‐MPI) were also evaluated prenatally. Results Forty‐seven women were included in the study. Mean gestational age, mass size, diameter and velocity of the FA, and LV mod‐MPI at prenatal diagnosis were 23.5?±?2.2?weeks, 3.6?±?8.3 cm, 2.3?±?0.6?mm, 46.6?±?15.4 cm/s, and 0.46?±?0.06, respectively. Mean mass diameter and FA diameter measured on postnatal CT examinations were 3.8?±?1.0 cm and 2.3?±?0.7?mm, respectively. Five patients had respiratory symptoms after birth. Twenty children (43%) underwent or were scheduled to undergo mass excision, and the remaining 27 (57%) were doing well without any intervention. There was no neonatal death. LV mod‐MPI at diagnosis, the FA diameter after birth and the serial change in the FA size were significantly associated with postnatal mass excision. Conclusion The FA diameter and LV mod‐MPI may be additional markers for predicting whether fetuses with BPS should undergo mass excision in early childhood or conservative care.
机译:摘要目的,用于评估胎儿胎儿胎儿的产前超声预测标志物(BPS)。方法对饲料动脉(FA)的BPS尺寸和直径在原产地和后期进行预测。还在处理FA和左心室改性的心肌性能指数(LV MOD-MPI)的速度。结果47名妇女纳入该研究。平均妊娠期,FA的质量大小,直径和速度,产前诊断的LV Mod-MPI为23.5?±2.2?周,3.6?±8.3厘米,2.3?±0.6?mm,46.6?±? 15.4 cm / s,分别为0.46?±0.06。在产后CT检查上测量的平均质量直径和FA直径分别为3.8?±1.0cm和2.3?±0.7?mm。五名患者出生后患有呼吸系统症状。二十个儿童(43%)接受或计划进行大规模切除,其余27(57%)在没有任何干预的情况下做得好。没有新生儿死亡。 LV Mod-MPI在诊断中,出生后的FA直径和FA尺寸的串行变化显着与出生后大量切除相关。结论FA直径和LV MOD-MPI可以是额外的标记,用于预测与BPS的胎儿是否应在幼儿期或保守护理中进行大规模切除。

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  • 作者单位

    Department of Obstetrics and GynecologyUniversity of Ulsan College of Medicine Asan Medical;

    Department of Obstetrics and GynecologyUniversity of Ulsan College of Medicine Asan Medical;

    Department of Obstetrics and GynecologyUniversity of Ulsan College of Medicine Asan Medical;

    Department of Obstetrics and GynecologyUniversity of Ulsan College of Medicine Asan Medical;

    Department of Obstetrics and GynecologyUniversity of Ulsan College of Medicine Asan Medical;

    Department of Obstetrics and GynecologyUniversity of Ulsan College of Medicine Asan Medical;

    Division of Neonatology Department of PediatricsUniversity of Ulsan College of Medicine Asan;

    Division of Neonatology Department of PediatricsUniversity of Ulsan College of Medicine Asan;

    Division of Neonatology Department of PediatricsUniversity of Ulsan College of Medicine Asan;

    Department of RadiologyUniversity of Ulsan College of Medicine Asan Medical CenterSeoul Republic;

    Department of RadiologyUniversity of Ulsan College of Medicine Asan Medical CenterSeoul Republic;

    Department of Clinical Epidemiology and BiostatisticsUniversity of Ulsan College of Medicine Asan;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 影像诊断学;
  • 关键词

    bronchopulmonary sequestration; congenital abnormalities; feeding artery; prenatal diagnosis; ultrasonography;

    机译:支气管肺封存;先天性异常;饲料动脉;产前诊断;超声检查;

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