Prenatal prediction of pulmonary hypoplasia

Prenatal prediction of pulmonary hypoplasia
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DOI:
10.1016/j.siny.2017.03.001
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发表时间:
2017-08-01
影响因子:
3
通讯作者:
Treadwell, Marjorie C.
Treadwell, Marjorie C.
中科院分区:
医学3区
文献类型:
--
作者:
Triebwasser, Jourdan E.;Treadwell, Marjorie C.

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肺发育不良虽然罕见,但与显著的新生儿发病率和死亡率有关。与肺发育不良相关的情况包括限制正常胸腔容量或活动的情况,包括骨骼发育不良和腹壁缺陷;有肿块影响的情况,包括先天性横隔疝和胸腔积液;以及羊水减少的情况,包括早产、胎膜过早破裂和泌尿生殖系统异常。预测严重肺发育不良的能力有助于产前家庭咨询以及产科和新生儿管理。本综述的目的是概述广泛用于产前评估肺发育不良的影像技术,并讨论这些方法的局限性。(C)2017爱思唯尔有限公司。保留所有权利。
Pulmonary hypoplasia, although rare, is associated with significant neonatal morbidity and mortality. Conditions associated with pulmonary hypoplasia include those which limit normal thoracic capacity or movement, including skeletal dysplasias and abdominal wall defects; those with mass effect, including congenital diaphragmatic hernia and pleural effusions; and those with decreased amniotic fluid, including preterm, premature rupture of membranes, and genitourinary anomalies. The ability to predict severe pulmonary hypoplasia prenatally aids in family counseling, as well as obstetric and neonatal management. The objective of this review is to outline the imaging techniques that are widely used prenatally to assess pulmonary hypoplasia and to discuss the limitations of these methods. (C) 2017 Elsevier Ltd. All rights reserved.