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[孕25周时会厌囊肿的产前诊断及新生儿处理]

[Prenatal diagnosis at 25 weeks gestation and neonatal management of a vallecular cyst].

作者信息

Cuillier F, Testud R, Samperiz S, Fossati P

机构信息

Service de Gynécologie-Obstétrique, Hôpital Félix Guyon, rue des Topazes, 97400 Saint-Denis, Ile de la Réunion, Océan Indien, France.

出版信息

Ann Otolaryngol Chir Cervicofac. 2002 Nov;119(5):293-5.

Abstract

Due to the anatomical location, vallecular cyst is a rare but well-recognized cause of upper airway obstruction and death in newborn. This cyst can be accurately diagnosed by echography in utero and by MR imaging. Prenatal diagnosis allows for early consultation with surgical specialist, so that the time and place of the delivery can be addressed for neonatal preoperative planning. We report the first prenatal diagnosis of a vallecular cyst at 25 weeks of gestation. At birth, the cyst was drained and then marsupialized. We believed that, in cases of oropharyngeal tumors discovered in utero, elective delivery should be realised in a tertiary referral center in which emergency ventilation and tracheostomy are possible.

摘要

由于会厌谷囊肿的解剖位置,它是新生儿上呼吸道梗阻和死亡的一种罕见但已被充分认识的原因。这种囊肿可通过子宫内超声检查和磁共振成像准确诊断。产前诊断有助于尽早咨询外科专家,从而确定分娩时间和地点,以便进行新生儿术前规划。我们报告了首例妊娠25周时会厌谷囊肿的产前诊断病例。出生时,囊肿进行了引流,然后行袋形缝合术。我们认为,对于子宫内发现的口咽肿瘤病例,应在具备紧急通气和气管切开条件的三级转诊中心进行择期分娩。

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