Murphy J J, Fraser G C, Blair G K
Division of Pediatric Surgery, British Columbia Children's Hospital, Vancouver, Canada.
J Pediatr Surg. 1992 Oct;27(10):1265-8. doi: 10.1016/0022-3468(92)90270-h.
This report describes a neonate with sirenomelia who was recently treated at British Columbia Children's Hospital. Prenatal diagnosis was made at 29 weeks' gestation. Survival was not anticipated. Cesarean-section at term showed a live 2,375-g infant with excellent Apgar scores. Anomalies noted were fused lower extremities, imperforate anus, colon atresia, bilateral fused pelvic kidneys with renal dysplasia, pelvic and sacral dysplasia, and genital abnormalities. Laparotomy and colostomy were performed. All other anomalies are compatible with life and she is neurologically normal. Eventual separation of the lower extremities is planned. This is the second reported case of survival in a patient born with sirenomelia.
本报告描述了一名患有并腿畸形的新生儿，该患儿近期在不列颠哥伦比亚省儿童医院接受治疗。妊娠29周时做出了产前诊断。预计无法存活。足月剖宫产娩出一名体重2375克的活婴，阿氏评分良好。发现的异常包括下肢融合、肛门闭锁、结肠闭锁、双侧融合性盆腔肾伴肾发育不良、骨盆和骶骨发育不良以及生殖器异常。进行了剖腹手术和结肠造口术。所有其他异常情况均与生命相容，且她神经功能正常。计划最终对下肢进行分离。这是第二例报道的患有并腿畸形的患儿存活病例。
