Haberman S, Burgess T, Klass L, Cohn B D, Minkoff H L
Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York 11219, USA.
Ultrasound Obstet Gynecol. 2000 Jun;15(6):542-4. doi: 10.1046/j.1469-0705.2000.00039.x.
Gastroschisis is a congenital anomaly with a reported incidence of 1 in 10,000 live births. Although prenatal diagnosis is more common with the widespread use of biochemical markers and obstetric ultrasound, the role of ultrasound in the identification of the fetus that might need early intervention has not been established. Acute bowel perforation was diagnosed by ultrasound at 34 weeks gestation in a fetus with gastroschisis. An immediate Cesarean section was performed, followed by repair with primary closure. The neonatal outcome was favorable. The post-partum findings, including bowel pathology, confirmed the antenatal diagnosis. Acute bowel perforation can be diagnosed antenatally. Immediate intervention, before further bowel injury occurs, might enhance the ability of the surgeon to perform primary closure and obtain a favorable outcome.
腹裂是一种先天性异常，据报道活产儿发病率为万分之一。尽管随着生化标志物和产科超声的广泛应用，产前诊断更为常见，但超声在识别可能需要早期干预的胎儿方面的作用尚未确立。一名患有腹裂的胎儿在妊娠34周时经超声诊断为急性肠穿孔。立即进行剖宫产，随后进行一期缝合修复。新生儿结局良好。产后检查结果，包括肠道病理检查，证实了产前诊断。急性肠穿孔可在产前诊断。在进一步肠损伤发生之前立即进行干预，可能会提高外科医生进行一期缝合并获得良好结局的能力。
