先天性十二指肠梗阻的产前超声表现与预后关系分析

发布时间：2018-05-09 01:42

本文选题：先天性十二指肠梗阻 + 预后　；参考：《中国超声医学杂志》2017年09期

【摘要】：目的探讨先天性十二指肠梗阻(DUO)患儿的产前超声表现与预后的关系。方法收集53例DUO患儿的临床资料、预后及产前超声表现(胃泡及十二指肠的宽径、羊水指数等)。依据随访结局分为A组13例(不良结局组)、B组40例(无不良结局组),比较A、B两组间的产前超声表现。结果 (1)产前胃泡、十二指肠宽径及羊水指数均与孕周呈正相关,胃泡与十二指肠宽径比值在各孕周中较为恒定;(2)A组的胃泡及十二指肠宽径均大于B组,但差异无统计学意义(P0.05);两组间羊水指数及产前首次发现异常的孕周无明显差异(P0.05)。结论胃泡、十二指肠宽径及羊水指数等产前超声表现与预后无明显关系。
[Abstract]:Objective to investigate the relationship between prenatal ultrasound findings and prognosis of children with congenital duodenal obstruction. Methods the clinical data, prognosis and antepartum ultrasound findings (wide diameter of gastric vesicle and duodenum, amniotic fluid index, etc.) were collected in 53 cases of DUO. According to the follow-up outcome, 13 cases were divided into group A (bad outcome group) and group B (40 cases) (no adverse outcome group). The antepartum ultrasound findings of two groups were compared. Results (1) there was a positive correlation between gestational weeks and antepartum gastric vesicle, duodenal width and amniotic fluid index. The ratio of gastric vesicle to duodenum width in group A was higher than that in group B. There was no significant difference in amniotic fluid index between the two groups, and there was no significant difference in amniotic fluid index and the gestational week in which the abnormality was found for the first time. Conclusion the antepartum ultrasonographic findings such as gastric vesicle, duodenal width and amniotic fluid index have no significant relationship with prognosis.
【作者单位】：郑州大学第三附属医院超声科;
【基金】：河南省教育厅项目,河南省出生缺陷产前超声诊断转诊网络及技术平台的建立(No.14A320025) 河南省医学科技攻关计划项目(No.201702098)
【分类号】：R445.1;R714.5

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