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[胎儿巨膀胱的产前诊断与处理]

[Prenatal diagnosis and management of fetal megacystis].

作者信息

El Fekih Chiraz, Ouerdiane Nadia, Mourali Mechaal, Oueslati Seddik, Oueslati Boujemaa, Binous Naoufel, Chaabène Mounira, Ben Zineb Nabil

机构信息

Service de gynécologie obstétrique, hôpital Mahmoud El Matri Ariana.

出版信息

Tunis Med. 2009 Dec;87(12):887-90.

PMID:20209861
Abstract

BACKGROUND

Prenatal diagnosis of fetal megacystis particularly in the first trimester requires assessement of pronostic and aetiologycal criteria.

AIM

Report a new case.

CASE

we report a case of severe megacystis in female fetus diagnosed at 23 weeks of gestation. There are no other associated ultrasound findings. Fetal karyotyping was normal (46XX). Termination of pregnancy for medical indications was realised because of progressive enlargement of the fetal bladder. Post-mortem examination shown megacystis-microcolon-intestinal hypoperistalsis syndrome.

CONCLUSION

Fetal megacystis is a severe condition when diagnosed early in pregnancy. Ultrasonography follow-up and fetal karyotyping are important to evaluate prognosis.

摘要

背景

胎儿巨膀胱的产前诊断,尤其是在孕早期,需要评估预后和病因标准。

目的

报告一例新病例。

病例

我们报告一例妊娠23周时诊断出的女性胎儿严重巨膀胱病例。没有其他相关的超声检查结果。胎儿核型分析正常(46XX)。由于胎儿膀胱逐渐增大,因医学指征而终止妊娠。尸检显示为巨膀胱-小结肠-肠蠕动减弱综合征。

结论

妊娠早期诊断出的胎儿巨膀胱是一种严重情况。超声随访和胎儿核型分析对于评估预后很重要。

相似文献

1
[Prenatal diagnosis and management of fetal megacystis].[胎儿巨膀胱的产前诊断与处理]
Tunis Med. 2009 Dec;87(12):887-90.
2
[Early fetal megacystis at first trimester: a six-year retrospective study].
Gynecol Obstet Fertil. 2009 Feb;37(2):115-24. doi: 10.1016/j.gyobfe.2008.12.004. Epub 2009 Feb 5.
3
Early fetal cystoscopy for first-trimester severe megacystis.早孕期严重巨膀胱胎儿膀胱镜检查。
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Fetal megacystis: a lot more than LUTO.胎儿巨膀胱:远不止 LUTO。
Ultrasound Obstet Gynecol. 2019 Jun;53(6):779-787. doi: 10.1002/uog.19182.
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Fetal megacystis as a prenatal challenge: megacystis-microcolon-intestinal hypoperistalsis syndrome in a male fetus.胎儿巨大膀胱作为产前难题:一例男性胎儿的巨大膀胱-小结肠-肠蠕动减弱综合征
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Prenatal diagnosis of megacystis-microcolon-intestinal hypoperistalsis syndrome in one fetus of a twin pregnancy.双胎妊娠中一个胎儿巨膀胱-小结肠-肠蠕动不良综合征的产前诊断
Am J Perinatol. 2003 May;20(4):215-8. doi: 10.1055/s-2003-40610.
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Prenatal detection of megacystis: not always an adverse prognostic factor. Experience in 25 consecutive cases in a tertiary referral center, with complete neonatal outcome and follow-up.产前检测出巨膀胱:并非总是不良预后因素。一家三级转诊中心连续25例病例的经验,伴有完整的新生儿结局和随访情况。
J Pediatr Urol. 2017 Oct;13(5):486.e1-486.e10. doi: 10.1016/j.jpurol.2017.04.001. Epub 2017 Apr 14.
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Perinatal outcome and prognostic factors of fetal megacystis diagnosed at 11-14 week's gestation.11-14 孕周诊断胎儿巨膀胱的围产结局和预后因素。
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[Megacystis-microcolon intestinal hypoperistalsis syndrome (MMIHS) as a rare differential diagnosis of foetal megacystis on ultrasonography].[巨膀胱-小结肠-肠蠕动不良综合征(MMIHS)作为超声检查中胎儿巨膀胱罕见的鉴别诊断]
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Early fetal megacystis: Is it possible to predict the prognosis in the first trimester?早期胎儿巨膀胱:孕早期能否预测预后?
J Perinat Med. 2018 Nov 27;46(9):1035-1039. doi: 10.1515/jpm-2017-0351.

引用本文的文献

1
Consanguinity and its relevance for the incidence of megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS): systematic review.近亲结婚及其与巨膀胱-小结肠-肠蠕动不良综合征(MMIHS)发病率的相关性:系统评价
Pediatr Surg Int. 2019 Feb;35(2):175-180. doi: 10.1007/s00383-018-4390-6. Epub 2018 Nov 1.
2
Megacystis microcolon intestinal hypoperistalsis syndrome: systematic review of outcome.巨膀胱小结肠肠蠕动不良综合征:结局的系统评价
Pediatr Surg Int. 2011 Oct;27(10):1041-6. doi: 10.1007/s00383-011-2954-9.