Clinical analysis of prenatal diagnosis and intervention for primary pleural effusion of 13 cases
10.3760/cma.j.issn.0529-567x.2018.02.003
- VernacularTitle:13例原发性胸腔积液胎儿产前治疗的临床分析
- Author:
Xueqin WANG
1
;
Weijing LI
;
Ruiling YAN
;
Jingwen XIANG
;
Mengyuan LIU
Author Information
1. 暨南大学附属第一医院胎儿医学科
- Keywords:
Pleural effusion;
Prenatal diagnosis;
Survival rate
- From:
Chinese Journal of Obstetrics and Gynecology
2018;53(2):82-87
- CountryChina
- Language:Chinese
-
Abstract:
Objective To optimize the clinical managements of primary fetal hydrothorax(PFHT) fetus by comparing the perinatal survival rate of different prenatal treatments.Methods Totally 13 fetuses diagnosed with PFHT from July 2009 to December 2015 in the First Affiliated Hospital of Jinan University were collected and received prenatal expectant treatment, thoracocentesis (TC), and thoraco-amniotic shunting (TAS), respectively. The perinatal survival rate was compared among the three treatments. Results Among 13 fetuses of PFHT,pleural effusion was absorbed or remained stable in 2(2/13)cases,and progressed in 11(11/13) cases. Six cases received expectant treatment (2 cases had termination of pregnancy due to progressing effusion, 2 cases had term delivery, and 2 cases had intrauterine death); the perinatal survival rate was 2/6. Six cases received TC (2 cases had term delivery, 2 cases had preterm delivery,and 2 cases had termination of pregnancy due to progressing effusion),the perinatal survival rate was 4/6.One case received TC+TAS(term delivery),the perinatal survival rate was 1/1.The overall perinatal survival rate of prenatal intrauterine intervention was 5/7. Conclusions The clinical process of PFHT is changeable, and the pleural effusion will progress with gestational age. Intrauterine interventions could improve the perinatal survival rate.
