超声检查在新生儿肺隔离症中的诊断价值

doi:10.3969/j.issn.1671-7171.2021.12.001

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摘要【目的】探讨超声检查在新生儿肺隔离症(PS)中的诊断价值。【方法】回顾性分析湖南省儿童医院2019年5月至2021年1月术后病理确诊为PS患儿22例的临床资料,分析其超声特征。【结果】22例PS患儿中,病灶均为单侧,其中左侧19例,右侧3例;超声主要表现为胸腔或腹腔实性肿块20例,囊实混合性肿块2例,其中15例肿块内探及血供来自主动脉(10例来自胸主动脉,5例来自腹主动脉);另外7例中,3例肿块供血动脉起始显示不清,但供血动脉频谱呈高速高阻型血流曲线,提示供血动脉来源于体循环,4例供血动脉显示不清。超声检查与增强CT检查新生儿PS的确诊率比较差异无统计学意义(P>0.05)。【结论】超声检查可作为新生儿PS的一种重要的辅助检查方法。

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关键词 ：婴儿,新生, 支气管肺隔离症/诊断, 超声检查

Abstract：【Objective】To investigate the value of ultrasonography in neonatal pulmonary sequestration. 【Methods】The clinical data of 22 children with PS diagnosed by postoperative pathology in Hunan children's Hospital from May 2019 to January 2021 were analyzed retrospectively. 【Results】Among the 22 children with PS, the lesions were unilateral, including 19 cases on the left and 3 cases on the right; the main ultrasonographic manifestations were solid masses in thoracic cavity or abdominal cavity in 20 cases and mixed cystic and solid masses in 2 cases, including 15 cases The blood supply was detected from the aorta (10 cases were from the thoracic aorta and 5 cases from the abdominal aorta); in the other 7 cases, the initial display of the blood supply artery of the mass was unclear in 3 cases, but the spectrum of the blood supply artery showed a high-speed and high resistance blood flow curve, suggesting that the blood supply artery came from the systemic circulation, and the display of the blood supply artery was unclear in 4 cases. There was no significant difference in the diagnostic rate of neonatal PS between ultrasound and enhanced CT(P>0.05). 【Conclusion】Ultrasonography can be used as an important auxiliary method for neonatal PS.

Key words： Infant, Newborn Bronchopulmonary Sequestration/DI Ultrasonography

收稿日期: 2021-09-09

中图分类号:

R562.2

基金资助:湖南省科技厅临床医疗技术创新引导项目(编号:2020SK50515)

通讯作者: **E-mail:826423695@qq.com

引用本文:

周梦洁, 周昱, 刘金桥, 孟慧娴, 袁文芳. 超声检查在新生儿肺隔离症中的诊断价值[J]. 医学临床研究, 2021, 38(12): 1761-1763.
ZHOU Meng-jie, ZHOU Yu, LIU Jin-qiao, et al. Diagnostic Value of Ultrasonography in Neonatal Pulmonary Sequestration. JOURNAL OF CLINICAL RESEARCH, 2021, 38(12): 1761-1763.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.12.001 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I12/1761

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