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目的探讨运用产前B超检查早期诊断治疗新生儿先天性膈疝的疗效。方法回顾分析2004年2月～2009年10月间我科收治的14例产前B超检查确诊或疑似的新生儿先天性膈疝。结果本组14例患儿中有11例产前B超明确诊断,3例疑似诊断产后确诊。2例患儿因合放弃治疗;12例患儿行手术治疗,其中1例术后因呼吸衰竭死亡,另11例存活,治愈率78.6%。结论产前运用B超检查,能尽早诊断并治疗新生儿先天性膈疝,减少并发症提高存活率。
Objective To explore the use of prenatal B ultrasound examination of early diagnosis and treatment of neonatal congenital diaphragmatic hernia. Methods Retrospective analysis of 14 cases of neonatal congenital diaphragmatic hernia diagnosed or suspected by prenatal B-ultrasound in our department from February 2004 to October 2009 was retrospectively analyzed. Results The group of 14 children in 11 cases of prenatal diagnosis of B-ultrasonography, 3 cases of suspected diagnosis of postpartum diagnosis. Two children were given up for treatment. Twelve children underwent surgery. One patient died of respiratory failure and the other 11 survived. The cure rate was 78.6%. Conclusion Prenatal use of B-ultrasound, early diagnosis and treatment of neonatal congenital diaphragmatic hernia, reduce complications and improve survival.