Rashid Sabrina Q
SONOLAB, Centre for Diagnostic Ultrasound, 150 Green Road, Panthapath, Dhaka, Bangladesh.
J R Soc Promot Health. 2002 Mar;122(1):55-7. doi: 10.1177/146642400212200116.
A total of 5,841 obstetric patients were scanned over a period of 34 months. This study was undertaken to establish the anomalies that can be detected by ultrasound and to find out their relative frequencies in Bangladesh. Of the 41 cases of congenital anomalies, seven cases were of hydrocephalus, seven were of hydronephrosis, five were of mild hydrocele (which could be just a physiological variant), five of anencephalus, five of fetal ascites, three of omphalocele, two of small biparietal diameter (BPD), two of short-limb, and one each of gastroschisis, renal cyst, hepatosplenomegaly, pleural effusion with oedema (hydrops fetalis) and bradycardia with irregular fetal heart beats. The benefits of the procedure are that in some cases like hydronephrosis, early detection can lead to early treatment to save the kidney by removing the congenital obstruction soon after birth, and in hydrocephalus and anencephalus it will help in proper management. The problem was there was a chance of higher detection of hydrocephalus and anencephalus as these were clinically suspected by the obstetrician and referred for a scan.
在34个月的时间里,共对5841名产科患者进行了扫描。本研究旨在确定超声能够检测出的异常情况,并查明其在孟加拉国的相对发生率。在41例先天性异常病例中,7例为脑积水,7例为肾积水,5例为轻度鞘膜积液(可能只是一种生理变异),5例为无脑儿,5例为胎儿腹水,3例为脐膨出,2例为双顶径小,2例为肢体短小,1例为腹裂、肾囊肿、肝脾肿大、伴有水肿的胸腔积液(胎儿水肿)以及伴有不规则胎儿心跳的心动过缓。该检查的好处在于,在某些情况下,如肾积水,早期检测可促使早期治疗,在出生后不久通过解除先天性梗阻来挽救肾脏;而在脑积水和无脑儿的情况下,这将有助于进行妥善管理。问题在于,由于产科医生临床上怀疑存在脑积水和无脑儿并将其转诊进行扫描,所以存在更高的检出可能性。