Effects of two different venous drainage patterns on the prognosis of fetal pulmonary sequestration
10.3760/cma.j.issn.1004-4477.2016.02.010
- VernacularTitle:胎儿肺隔离症静脉回流方式对预后影响的研究
- Author:
Xiuhua ZHAO
;
Hongning XIE
;
Ruan PENG
;
Meifang LIN
;
Lihong WU
;
Liu DU
- Publication Type:Journal Article
- Keywords:
Ultrasonography,prenatal;
Broncho pulmonary sequestration;
Fetal;
Venous drainage;
Prognosis
- From:Chinese Journal of Ultrasonography
2016;25(2):131-135
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of two different venous drainage patterns on the prognosis of fetal pulmonary sequestration( PS) . Methods Sixty cases of fetal PS with confirmed venous drainage diagnosed by prenatal ultrasound were retrospectively analyzed . Changes of the volumes of PS lesions and the clinical outcomes were compared between two different venous drainage patterns . Results Among the total 64 cases ,34 cases were pulmonary venous drainage and 30 cases were systemic venous drainage . There was no case combined with any abnormality in pulmonary venous drainage group;whereas , 6 cases combined with other abnormalities in systemic venous drainage group ,between which significant difference was noted( P =0 .02) . In pulmonary venous drainage group ,there was no significant difference in the volumes of PS lesions between at 20-24 weeks′gestational age(WGA) and at 24+1 -30 WGA( P >0 .05) ;but not between at 24+1 -30 WGA or at 20 -24 WGA and at 30+1 -39 WGA ( P < 0 .05) . However ,in the systemic venous drainage group ,the volumes of PS lesions were stable at these three stages ( P > 0 .05) . Postnatal respiratory symptoms and postnatal surgery rates were similar between the two groups( P > 0 .05) . Conclusions PS with systemic venous drainage is more likely combined with other abnormalities than PS with pulmonary venous drainage . The lesion volumes of PS with pulmonary venous drainage decreas remarkably during the middle‐late pregnancy . Nevertheless ,the clinical postnatal outcomes are both favorable in the two groups .
