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脐膨出与脐带囊肿。产前诊断。

Omphalocele and umbilical cord cyst. Prenatal diagnosis.

作者信息

Stella A, Babbo G L

机构信息

Department of Obstetrics and Gynecology, Cittadella Hospital, Padova.

出版信息

Minerva Ginecol. 2000 May;52(5):213-6.

Abstract

We present a case of intrauterine fetal death at 32 week's gestation with omphalocele, umbilical cord allantoic cyst and polyhydramnios. Ultrasound diagnosis of anomalies was performed at 23 weeks of gestation. Fetal karyotype was normal: 46 XX. This association has been found to have a high rate of chromosomal abnormalities, especially trisomy 18. It's difficult to explain the reason why intrauterine fetal death has happened; one possible hypothesis is that the cord cyst, compressing umbilical vessels, have caused intrauterine vascular compromise of blood flow.

摘要

我们报告一例孕32周时发生的宫内胎儿死亡病例,该胎儿合并脐膨出、脐带尿囊囊肿及羊水过多。在孕23周时通过超声诊断出胎儿异常。胎儿核型正常:46 XX。已发现这种关联存在较高的染色体异常率,尤其是18三体。难以解释宫内胎儿死亡发生的原因;一种可能的假说是,脐带囊肿压迫脐血管,导致了宫内血流的血管受损。

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