Langer B, Donato L, Riethmuller C, Becmeur F, Dreyfus M, Favre R, Schlaeder G
Department of Obstetrics and Gynecology II, Hautepierre Hospital, University Hospital of Strasbourg, France.
Ultrasound Obstet Gynecol. 1995 Jul;6(1):33-9. doi: 10.1046/j.1469-0705.1995.06010033.x.
The prenatal diagnosis of pulmonary sequestration can usually be made by the third trimester of pregnancy, from the combination of an intrathoracic mass and indirect signs such as cardiac deviation, fetal hydrops, pleural effusion and polyhydramnios. We describe four cases in which pulmonary hyperechogenicity was detected before 26 weeks' gestation. In three cases the hyperechogenic mass was isolated. In all cases it had mostly regressed during the pregnancy. A review of the cases of isolated pulmonary sequestration that have been diagnosed during the antenatal period is presented. Antenatal evolution was found to be unpredictable regardless of the type or severity of the case at the first diagnosis. We propose a classification to define more clearly the optimal management of pulmonary sequestration.
肺隔离症的产前诊断通常可在妊娠晚期通过胸腔内肿块与心脏移位、胎儿水肿、胸腔积液和羊水过多等间接征象相结合做出。我们描述了4例在妊娠26周前检测到肺回声增强的病例。其中3例为孤立性高回声肿块。所有病例在孕期大多都有所消退。本文对产前诊断的孤立性肺隔离症病例进行了回顾。发现无论首次诊断时病例的类型或严重程度如何，产前演变都是不可预测的。我们提出一种分类方法，以更明确地界定肺隔离症的最佳治疗方案。
