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| Analysis of 22 cases with fetal diaphragmatic eventration |
1. Department of Ultrasound, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China;
2. The Key Laboratory of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China |
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Abstract Objective: To investigate the prenatal ultrasound in the diagnosis of fetal diaphragmatic eventration. Methods: Twenty-two cases of fetal diaphragmatic eventration with prenatal ultrasound diagnosis, which were confirmed by biopsy and surgery, were analyzed retrospectively to evaluate the ultrasonic manifestation and clinical data. Results: In the 22 cases of diaphragmatic eventration diagnosed by prenatal ultrasound, of which 5 cases got amniocentesis, with chromosome examination abnormality in 2 cases． There were 8 cases confirmed by biopsy among 17 cases of abortions, 5 cases continued to term delivery and 4 cases got confirmed by surgery while surgical results were good. Conclusion: Most fetal diaphragmatic eventration has typical sonographic appearance． Prenatal ultrasound has important application value in the diagnosis of diaphragmatic eventration, which can provide important information for prenatal consultation and clinical treatment.
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Received: 18 November 2015
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Corresponding Authors:
WANG Hui-zhu
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[1]Mouroux J, Vcnissac N, Lco F, et al． Surgical treatment of diaphragmatic eventration using video-assisted thoracic surgery: a prospective study[J]． Ann Thorac Surg, 2005, 79(1): 308-312．
[2]曾慰，邓宏军，郑达扬，等. 婴幼儿先天性膈膨升11例临床分析[J]. 南华大学学报医学版，2009，37（3）：317-318.
[3]冯锦兰，刘立玮. 婴幼儿膈疝与膈膨升的临床和X线分析[J]. 影像诊断与介入放射学，2008，17（5）：223-225.
[4]黄金狮，陈快． 经胸腔镜手术治疗先天性膈疝的体会[J]． 中华小儿外科杂志，2012，33（5）：340-343．
[5]王勇，汤绍涛，毛永忠，等. 腔镜下治疗小儿膈肌疾病31例[J]． 临床小儿外科杂志，2010，9（6）：441-442．
[6]Ahmadpour-Kacho M, Zahedpashal Y, Hadipoor A． Early surgical intervention for diaphragmatic paralysis in a Neonate[J]． Iran J Pediatr, 2011, 21(1): 116-120．
[7]严英榴，杨秀雄，沈理. 产前超声诊断学[M]. 北京：人民卫生出版社，2003：331-332.
[8]侯文英，李龙，明晓安. 腹腔镜膈肌折叠术治疗小儿膈膨升12例[J]. 中华小儿外科杂志，2012，33（7）：481-483.
[9]Chou HC, Hsu WM. New evolutions in congenital diaphragmatic hernia[J]. Pediatr Neonatol, 2010, 51(2): 80-82.
[10]Dean C, Etienne D, Carpentier B, et al. Hiatal hernias[J]. Surg Radiol Anat, 2012, 34(4): 291-299.
[11]Brownlee EM, Howatson AG. The hidden mortality of congenital diaphragmatic hernia: a 20-year review[J]. J Pediatr Surg, 2009, 44(2): 317-320.
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