Progress in prenatal examinations for diagnosis and prognostic evaluation of congenital diaphragmatic hernia
10.3760/cma.j.issn.1007-9408.2018.08.008
- VernacularTitle:产前辅助检查对诊断先天性膈疝及其预后评价的研究进展
- Author:
Mengnan YANG
1
;
Shengyi GU
;
Jun WANG
;
Xiaolin HUA
Author Information
1. 200092,上海交通大学医学院附属新华医院妇产科
- Keywords:
Hernias,diaphragmatic,congenital;
Prenatal diagnosis;
Prognosis
- From:
Chinese Journal of Perinatal Medicine
2018;21(8):551-554
- CountryChina
- Language:Chinese
-
Abstract:
Congenital diaphragmatic hernia (CDH) is caused by unilateral or bilateral diaphragmatic hypoplasia allowing abdominal organs to move into the thoracic,resulting in a series of pathophysiological changes,high mortality and poor prognosis.Therefore,earlier diagnosis is conducive to prenatal intervention and postnatal treatment.At present,prenatal ultrasonography is the most common used examination for CDH due to its convenience and low cost.MRI is complementary to ultrasound examination as it can evaluate both pulmonary development and maturity.Fetal echocardiography is a newly developed method in recent years which helps to indicate the prognosis through observation of hemodynamics and pulmonary vessels development.