产前超声诊断68例胎儿腹部囊性占位的分析
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Analysis of 68 cases of fetal abdominal cysts diagnosed by prenatal ultrasonography
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    目的:分析胎儿腹部囊性占位在产前超声中的声像图特点和相应的鉴别点,以降低误诊率,提高产前超声在腹部囊性占位诊断中的准确率。方法:回顾2014年6月至2016年6月在我院进行产前超声检查并检查出腹部囊性占位的68例病例,对其产前超声结果与产后复查及尸检结果进行比较。结果:对比产前超声诊断和产后或尸检的结果发现,产前超声诊断出现3例误诊,误诊率为4.4%。在产前超声诊断的68例胎儿腹部囊性占位中,产后或尸检发现卵巢囊肿9例,十二指肠梗阻10例,小肠梗阻3例,大肠梗阻1例,肛门闭锁1例,肠重复畸形8例,肠系膜囊肿2例,胆道闭锁2例,肾囊肿4例,多囊肾3例,多囊性发育不良肾11例,III级及以上肾积水8例,输尿管扩张2例,巨膀胱3例,胰腺癌1例。结论:产前超声通过观察胎儿腹部囊肿的位置、形态、大小、血流和相邻脏器等指标,同时结合孕周,能较为准确地诊断出病变,对产前和围产期管理提供重要的线索,对某些疾病起到早期治疗的效果。

    Abstract:

    Objective:To analyze the sonographic features of fetal abdominal cysts in prenatal ultrasonography and to identify the cor-responding points in order to reduce the misdiagnosis rate and to improve the accuracy of prenatal ultrasonography in the diagnosis of abdominal cysts. Methods:Retrospective analysis of 68 cases of abdominal cysts in our hospital from June 2014 to June 2016 was conducted. The prenatal ultrasonography results were compared with postnatal reexamination and autopsy results. Results:Compared with the results of prenatal ultrasonography diagnosis and postnatal or autopsy,3 cases were misdiagnosed,and the misdiagnosis rate was 4.4%. In 68 cases of fetal abdominal cyst diagnosed by prenatal ultrasound,postpartum or autopsy found 9 cases of ovarian cyst,10 cases of duodenal obstruction,3 cases of intestinal obstruction,1 case of intestinal obstruction,1 case of anal atresia,8 cases of in-testinal duplication,2 cases of mesenteric cyst,2 cases of biliary atresia,4 cases of renal cysts,3 cases of polycystic kidney. Multicys-tic dysplastic kidney in 11 cases,8 cases of hydronephrosis of grade Ⅲ or above,2 cases of ureteral dilatation,3 cases of giant blad-der,1 case of pancreatic cancer were observed. Conclusion:The disease can be accurately diagnosed by prenatal ultrasound com-bined with observing the position,shape,size,blood flow and adjacent organs of fetal abdominal cyst,and gestational age. This infor-mation can improve the prenatal detection rate of fetal malformation,and provide important clues for prenatal and perinatal manage-ment and early treatment for certain diseases.

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秦婷婷,文明.产前超声诊断68例胎儿腹部囊性占位的分析[J].重庆医科大学学报,2018,(2):274-

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  • 在线发布日期: 2019-05-30
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