尽管密切监测，孤立性胎儿腹腔内脐静脉静脉曲张仍出现不良结局。
Adverse outcome of isolated fetal intra-abdominal umbilical vein varix despite close monitoring.
作者信息
Valsky D V, Rosenak D, Hochner-Celnikier D, Porat S, Yagel S
机构信息
Department of Obstetrics and Gynecology, Hadassah University Hospital-Mt. Scopus, Jerusalem, Israel.
出版信息
Prenat Diagn. 2004 Jun;24(6):451-4. doi: 10.1002/pd.897.
BACKGROUND AND OBJECTIVES
Fetal intra-abdominal umbilical vein (FIUV) varix-a focal dilatation of the umbilical vein-is an uncommon entity. Outcome varies from spontaneous resolution to fetal death. We describe here the experience of our center with this perplexing entity.
METHODS
Case series review of seven cases of isolated FIUV treated in a tertiary care center from 2000 to 2003.
RESULTS
We describe seven cases of isolated FIUV varix with varying natural history, follow-up strategies, and fetal outcome. In one of the cases, intrauterine fetal demise occurred despite close follow-up.
CONCLUSIONS
We suggest that the course of FIUV is unpredictable, with a high fetal mortality rate. Close fetal monitoring with early delivery at 34 weeks' gestation should be advocated.
背景与目的
胎儿腹腔内脐静脉（FIUV）静脉曲张——脐静脉的局灶性扩张——是一种罕见的情况。其结局从自然消退到胎儿死亡不等。我们在此描述我们中心处理这一复杂情况的经验。
方法
对2000年至2003年在一家三级医疗中心治疗的7例孤立性FIUV病例进行系列病例回顾。
结果
我们描述了7例孤立性FIUV静脉曲张病例，其具有不同的自然病程、随访策略和胎儿结局。其中1例病例尽管进行了密切随访，但仍发生了宫内胎儿死亡。
结论
我们认为FIUV的病程不可预测，胎儿死亡率高。应提倡在妊娠34周时进行密切的胎儿监测并尽早分娩。
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