先天性膈疝的产前诊断、子宫内处理和围产儿结局。

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-04-29 DOI:10.1097/GRF.0000000000000946

Felicia V LeMoine, Sami Backley, Edgar Hernandez-Andrade, Neha Agarwal, Eric P Bergh, Gustavo Vilchez Lagos, Ramesha Papanna, Sarah Naranjo, Anthony Johnson, Jimmy Espinoza

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引用次数: 0

摘要

先天性膈疝（CDH）是一种复杂的畸形，发生率为0.02%至0.03%。CDH的病因通常是多因素的。超声检查可检出约70%的CDH病例。超声测量，即肺头比，也可以用来预测胎儿/新生儿疾病的严重程度，并指导胎儿是否有资格接受产前干预，如FETO手术。FETO手术改善了严重左侧CDH胎儿的总体发病率和死亡率，尽管关于其在右侧CDH治疗中的作用以及婴儿和儿童长期预后的数据有限。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Prenatal Diagnosis, In Utero Management, and Perinatal Outcomes of Congenital Diaphragmatic Hernia.

Congenital diaphragmatic hernia (CDH) is a complex malformation complicating 0.02% to 0.03% of live births. The etiology of CDH is often multifactorial. Sonographic screening can aid in the detection of ~70% of CDH cases. Sonographic measures, that is, lung-to-head ratio, can also be utilized to predict the severity of fetal/neonatal disease and guide fetal eligibility for prenatal interventions, such as the FETO procedure. The FETO procedure has provided improved overall morbidity and mortality among fetuses with severe left-sided CDH, although limited data on its role in the treatment of right-sided CDH and long-term infant and childhood outcomes are limited.

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来源期刊

Clinical obstetrics and gynecology 医学-妇产科学

CiteScore

2.70

自引率

0.00%

发文量

186

审稿时长

3 months

期刊介绍： Each issue of Clinical Obstetrics and Gynecology is a complete symposium on one or two timely topics of interest in obstetrics and gynecology. For each quarterly issue, two prominent guest editors solicit contributions on key clinical topics of interest to practicing physicians. Procedures, current clinical problems, medical and surgical treatments, and effective diagnostic aids are all carefully reviewed in original articles. The result is an instructive resource that dispenses trustworthy clinical guidance that enhances your understanding of key areas of your practice.