Kuzan Taha Yusuf, Murzoğlu Altıntoprak Kübra, Çiftçi Hatice Özge, Kuzan Beyza Nur, Yassa Murat, Tuğ Niyazi, Çimşit Nuri Çagatay
Clinic of Radiology, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Turkey
Department of Radiology, Marmara University Faculty of Medicine, İstanbul, Turkey
J Turk Ger Gynecol Assoc. 2021 Aug 31;22(3):196-205. doi: 10.4274/jtgga.galenos.2021.2020.0215. Epub 2021 Feb 26.
To describe the radiological features, diagnostic accuracy and features of imaging studies and their relation with clinical course of Coronavirus disease-2019 (COVID-19) pneumonia in pregnant women.
The clinical, laboratory and radiological features of symptomatic pregnant women suspected of COVID-19 were retrospectively reviewed. Chest radiography (CXR) and chest computed tomography (CT) findings of COVID-19 in pregnant women were identified.
Fifty-five of eighty-one pregnant women were included in the final analysis. The most common admission symptoms were dry cough (45.4%), fever (29.1%) and dyspnea (34.5%). Radiological imaging studies were performed in 34 (61.8%) patients. Fourteen (66.7%) of the laboratory-confirmed COVID-19 patients had parenchymal abnormalities on CXR, and most common abnormalities were airspace opacities (61.9%) and prominent bronchovascular shadows (28.6%). Seventeen (85.0%) of the patients had parenchymal abnormalities consistent with COVID-19 on their chest CT. Chest CT most commonly showed bilateral (88.2%), multilobe (100%) involvement; peripheral and central distribution (70.6%); patchy-shape (94.1%) and ground-glass opacity (94.1%). The sensitivity of CXR and chest CT was calculated as 66.7% and 83.3%, respectively. Preterm birth rate was 41.2% (n=7/17). Five (9.1%) of the 55 pregnant women admitted to the intensive care unit, three of those developed acute respiratory distress syndrome and one died.
This study describes the main radiological features of symptomatic pregnant women infected with COVID-19. The refusal rate among pregnant women for the imaging modalities involving ionizing radiation was high but these had high sensitivity for COVID-19 diagnosis. The preterm birth and cesarean section rates were observed as remarkably increased.
描述孕妇新型冠状病毒肺炎（COVID - 19）的放射学特征、诊断准确性、影像学检查特点及其与临床病程的关系。
对疑似COVID - 19的有症状孕妇的临床、实验室和放射学特征进行回顾性分析。确定孕妇COVID - 19的胸部X线摄影（CXR）和胸部计算机断层扫描（CT）结果。
81名孕妇中有55名纳入最终分析。最常见的入院症状为干咳（45.4%）、发热（29.1%）和呼吸困难（34.5%）。34例（61.8%）患者进行了放射学影像学检查。实验室确诊的COVID - 19患者中，14例（66.7%）胸部X线有实质异常，最常见的异常为肺野实变（61.9%）和支气管血管影增粗（28.6%）。17例（85.0%）患者胸部CT有符合COVID - 19的实质异常。胸部CT最常见表现为双侧（88.2%）、多叶（100%）受累；外周和中央分布（70.6%）；斑片状（94.1%）和磨玻璃样密度影（94.1%）。胸部X线和胸部CT的敏感性分别计算为66.7%和83.3%。早产率为41.2%（n = 7/17）。55名入院孕妇中有5名（9.1%）进入重症监护病房，其中3例发生急性呼吸窘迫综合征，1例死亡。
本研究描述了感染COVID - 19的有症状孕妇的主要放射学特征。孕妇对涉及电离辐射的影像学检查的拒绝率较高，但这些检查对COVID - 19诊断具有较高敏感性。观察到早产和剖宫产率显著增加。
