Shyu Ming-Kwang, Shih Jin-Chung, Lee Chien-Nan, Hwa Hsiao-Lin, Chow Song-Nan, Hsieh Fon-Jou
Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan.
Fetal Diagn Ther. 2003 Jul-Aug;18(4):255-61. doi: 10.1159/000070806.
To study the relationship between prenatal ultrasound features and postnatal course of meconium peritonitis.
Meconium peritonitis was diagnosed by prenatal ultrasound. Fetuses were treated by intrauterine paracentesis of ascites when indicated, and symptomatic newborns received surgery.
Totally 17 cases were enrolled. Prenatal ultrasound findings include abdominal calcification (16/17), fetal ascites (12/17), hydramnios (9/17), pseudocyst (7/17) and dilated bowel loop (6/17). Persistent ascites, pseudocyst or dilated bowel loop are most sensitive (92%) to predict postnatal surgery (p = 0.022). The survivors have a higher gestational age at birth (36.4 vs. 33.3 weeks, p = 0.008). Persistent ascites and postnatal persistent pulmonary hypertension of the newborns significantly correlate with neonatal mortality (p = 0.029 and 0.022).
Prenatal ultrasound can predict the neonatal outcome in meconium peritonitis.
研究胎粪性腹膜炎的产前超声特征与产后病程之间的关系。
通过产前超声诊断胎粪性腹膜炎。必要时对胎儿进行宫内腹水穿刺治疗，有症状的新生儿接受手术。
共纳入17例病例。产前超声检查结果包括腹部钙化（16/17）、胎儿腹水（12/17）、羊水过多（9/17）、假性囊肿（7/17）和肠管扩张（6/17）。持续性腹水、假性囊肿或肠管扩张对预测产后手术最为敏感（92%）（p = 0.022）。存活者出生时孕周较大（36.4周对33.3周，p = 0.008）。新生儿持续性腹水和产后持续性肺动脉高压与新生儿死亡率显著相关（p = 0.029和0.022）。
产前超声可预测胎粪性腹膜炎的新生儿结局。
