Perinatal outcome of 71 cases of primary fetal pleural effusion
10.3760/cma.j.issn.2095-428X.2019.14.005
- VernacularTitle: 原发性胎儿胸腔积液71例围生期结局分析
- Author:
Bo XIA
1
;
Gang YU
2
;
Pan YU
;
Cuifen LIU
;
Wu MAO
;
Jing TANG
;
Chun HONG
Author Information
1. Department of Pediatric Thoracic Surgery, Guangdong Women and Children Hospital, Guangzhou 511400, China, is working on the Department of Neonatal Surgery, Guangzhou Women and Children′s Medical Center Organization, Guangzhou 510623, China
2. Department of Pediatric Thoracic Surgery, Guangdong Women and Children Hospital, Guangzhou 511400, China, is working on the Department of Neonatal Surgery, Guangzhou Women and Children′s Medical Center Organization, Guangzhou 510623, China, is working on the Department of Pediatric Surgery, the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China
- Publication Type:Journal Article
- Keywords:
Hydrothorax;
Uterine intervention;
Fetal
- From:
Chinese Journal of Applied Clinical Pediatrics
2019;34(14):1060-1063
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the perinatal outcome of antenatally diagnosed primary fetal hydrothorax (FHT), and to provide management experience for FHT.
Methods:The clinical data of 80 cases with FHT, from January 2014 to February 2018 in Guangdong Women and Children Hospital, were retrospectively analyzed.
Results:Among 80 cases of FHT, the median age of the pregnant women was 29 years old (24-33 years old), while the median gestational age at diagnosis was 29+ 1 weeks(24-32 weeks), among them, 9 cases were lost to follow-up.Among the other 71 cases, 48 cases(67.6%) developed fetal edema, 44 cases (62.0%) involved bilateral pleural effusion, and 35 cases (49.3%) were associated with polyhydramnios.The rate of thoracoamniotic shunting and thoracentesis were 29.6% (21/71 cases) and 7.0% (5/71 cases), respectively.Among 71 cases of FHT, the overall survival rate was 63.4% (45/71 cases), the rate of termination of pregnancy was 22.5% (16/71 cases), including 2 cases which were chosen for termination of pregnancy after thoracoamniotic shunting due to poor control.Among the 55 continued gestation cases, 7 cases died in uterus, and the survival rate of fetal hydropic cases and non-hydropic cases was 70.6% and 100.0%, respectively, and the difference was statistically significant(P<0.05). Among the 48 cases of hydropic cases, there were 34 cases (70.8%) chosen to continue the pregnancy, the survival rate of non-intervention group (13 cases), thoracentesis group (4 cases) and thoracoamniotic shunting group (17 cases) were 53.8%, 75.0% and 82.4%, respectively, and the difference was statistically significant (P<0.05).
Conclusions:Fetal hydrops predicted a poor prognosis in PFHT.Timely intrauterine intervention could effectively improve the prognosis of PFHT and improve the survival rate.
