Akhter N, Islam S M, Mahmood S, Hossain G A, Chakraborty R K
Medical Officer, Center for Nuclear Medicine and Ultrasound (CNMU), Mymensingh, Bangladesh.
Mymensingh Med J. 2003 Jul;12(2):138-41.
Ultrasound is a well recognized imaging modality for prenatal diagnosis of fetal congenital anomalies. Reported cases are hydrops fetalis diagnosed during ultrasonic evaluation of fetal condition in the Center for Nuclear Medicine and ultrasound (CNMU), Mymensingh. Only fetal ascites was detected in one case of 26 +/- 2 wks of gestation, fetal ascites with hydramnios and thick placenta was seen in another case of 28 +/- 2 wks of gestation. In third case, there was fetal ascites, scalp edema, hydrothorax and myelomeningocele with oligohydramnios at 20 +/- 2 wks of gestation; sonographic diagnosis was hydrops fetalis with myelomeningocele. Follow up was advised in first two cases and third case was terminated electively. To decrease the mortality rate and to improve the outcome of hydrops fetalis cases appropriate prenatal investigations and therapy is needed. Recent advances in prenatal ultrasound have made possible the early detection of hydrops fetalis which is helpful for proper management in time.
超声是一种公认的用于胎儿先天性异常产前诊断的成像方式。本文报告了在迈门辛核医学与超声中心(CNMU)对胎儿状况进行超声评估期间诊断出的胎儿水肿病例。在一例妊娠26±2周的病例中仅检测到胎儿腹水,在另一例妊娠28±2周的病例中可见胎儿腹水伴羊水过多和胎盘增厚。第三例中,妊娠20±2周时出现胎儿腹水、头皮水肿、胸腔积液和脊髓脊膜膨出伴羊水过少;超声诊断为胎儿水肿合并脊髓脊膜膨出。建议对前两例进行随访,第三例则选择终止妊娠。为降低死亡率并改善胎儿水肿病例的结局,需要进行适当的产前检查和治疗。产前超声的最新进展使早期发现胎儿水肿成为可能,这有助于及时进行妥善管理。