早孕期胎儿腹腔囊性肿物的结局分析

发布时间：2018-03-08 00:16

本文选题：超声检查　切入点：产前　出处：《中国超声医学杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的探讨早孕期胎儿腹腔囊性肿物的临床预后。方法回顾性分析早孕期于我院行产前超声检查发现腹腔囊性肿物的胎儿16例,并行追踪随访,分析其来源及分布情况,探讨其转归及预后。结果早孕期产前超声发现腹腔囊性肿物并成功随访胎儿16例,囊肿长径7~57mm,平均22mm,其中9例为膀胱测值增大,1例为脐尿管囊肿,1例为先天性胆总管囊肿,4例腹腔囊肿中孕期复查消失,1例15周时胎死宫内,未行尸检,腹腔肿物性质不明。8例行胎儿染色体核型检查,其中18-三体综合征1例,13-三体综合征1例,其余正常。结论早孕期的腹腔囊性肿物部分来源于泌尿系异常引起的膀胱测值增大,大多预后不良,其他来源者大多预后较好。
[Abstract]:Objective to investigate the clinical prognosis of intraperitoneal cystic mass in early pregnancy. Methods Sixteen cases of intraperitoneal cystic mass found by prenatal ultrasound in our hospital during early pregnancy were analyzed retrospectively and their origin and distribution were analyzed. Results during early pregnancy, intraperitoneal cystic mass was found by prenatal ultrasound and 16 fetuses were followed up successfully. The length of cyst was 7 ~ 57 mm (mean 22 mm), of which 9 cases were bladder enlargement, 1 case was urachal cyst, 1 case was congenital choledochal cyst 4 cases were celiac cyst, 1 case died at 15 weeks after pregnancy, but no autopsy was performed. Fetal chromosomal karyotype examination was performed in 8 cases with unknown celiac tumor, of which 1 case with 18 trisomy syndrome and 1 case with trisomy 18 syndrome, the rest were normal. Conclusion the cystic mass of abdominal cavity in early pregnancy is partly derived from the increase of bladder value caused by abnormal urinary system. Most of the patients had poor prognosis, while most of the other sources had better prognosis.
【作者单位】：四川大学华西第二医院超声科;
【基金】：国家十二五课题国家科技支撑计划“重大出生缺陷防治技术开发及应用研究”资助(No.2014BA106B00)
【分类号】：R445.1;R714.5

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