[Prenatal diagnosis and management of fetuses with congenital diaphragmatic hernia].
OBJECTIVE
The aim of this article is to review current options of prenatal diagnosis and management of fetuses with congenital diaphragmatic hernia at the Institute for the Care of Mother and Child.


METHODS
Institute for the Care of Mother and Child, 3. LF UK, Prague.


METHODS
Review of the literature.


RESULTS
Prenatal diagnosis of congenital diaphragmatic hernia based on 2D ultrasound. Measurement of the lung-to-head ratio (LHR), observed to expected lung to head ratio (O/E LHR), side of the diaphragmatic defect, assessment of the liver position and presence of associated anomalies (negative prognostic factors) are used for prediction of outcome. Prenatal diagnosis can be suplemented by 3D ultrasonography and magnetic resonace imaging. An important part of succesful management of CDH is the referal of cases to a specialised center.
Ustav pro péci o matku a díte 3. LF UK.
I
I
Urbánková
L
L
Haaková
Z
Z
Stranák
L
L
Krofta
D019560:Echocardiography, Three-Dimensional; D005260:Female; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000628:therapy; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011295:Prenatal Care; D016216:Ultrasonography, Prenatal