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腹内反转脐索在腹裂畸形中的独特超声表现。

Intra-abdominal inverted umblical cord in gastroschisis: a unique ultrasound finding.

机构信息

Department of Radiology and Biomedical Imaging, University of California San Francisco, Benioff Children's Hospital, 505 Parnassus Ave., San Francisco, CA, 94143-0628, USA.

出版信息

Pediatr Radiol. 2014 Jan;44(1):109-11. doi: 10.1007/s00247-013-2765-3. Epub 2013 Aug 2.

DOI:10.1007/s00247-013-2765-3
PMID:23907187
Abstract

A relatively new surgical technique allows for sutureless closure of a gastroschisis defect. Immediately after birth, a long umbilical cord stump is temporarily inverted into the abdominal cavity and later retracted and used to close the abdominal wall defect. Knowledge of this entity is important since the inverted umbilical cord simulates an intra-abdominal mass on cross-sectional imaging. While this procedure is well described in the surgical literature, the imaging features of inverted umbilical cord have yet to be reported. The case presented here highlights the sonographic imaging findings of the umbilical cord during the intestinal decompression phase of sutureless repair of gastroschisis.

摘要

一种相对较新的外科技术可实现腹裂缺陷的无缝合关闭。在出生后立即将长脐带残端暂时反转到腹腔内,然后缩回并用于关闭腹壁缺陷。了解此实体很重要,因为反转的脐带在横断成像上模拟了腹腔内肿块。虽然该手术在外科文献中有详细描述,但尚未报道反转脐带的影像学特征。本文介绍的病例强调了在无缝合修复腹裂的肠减压阶段脐带的超声影像学发现。

相似文献

1
Intra-abdominal inverted umblical cord in gastroschisis: a unique ultrasound finding.腹内反转脐索在腹裂畸形中的独特超声表现。
Pediatr Radiol. 2014 Jan;44(1):109-11. doi: 10.1007/s00247-013-2765-3. Epub 2013 Aug 2.
2
Umbilical cord inverting technique: a simple method to utilize the umbilical cord as a biologic dressing for sutureless gastroschisis closure.脐带翻转技术:一种将脐带用作生物敷料以实现无缝合腹裂修补的简单方法。
Pediatr Surg Int. 2011 Jan;27(1):95-7. doi: 10.1007/s00383-010-2713-3.
3
A "plastic" sutureless abdominal wall closure in gastroschisis.先天性腹裂的“可塑性”无缝合腹壁闭合术
J Pediatr Surg. 2004 May;39(5):738-41. doi: 10.1016/j.jpedsurg.2004.01.040.
4
Considerations on gastroschisis repair.关于腹裂修补术的考量
Chirurgia (Bucur). 2013 Jul-Aug;108(4):509-15.
5
Histology of a paraumbilical band in a neonate with gastroschisis.一名患有腹裂的新生儿脐旁带的组织学检查
Pediatr Dev Pathol. 2011 Nov-Dec;14(6):493-5. doi: 10.2350/11-06-1053-CR.1. Epub 2011 Aug 29.
6
Gastroschisis: primary closure using umbilical cord strengthened by a polypropylene mesh.腹裂:使用聚丙烯网片加固脐带进行一期缝合。
J Perinat Med. 2007;35(3):249-51. doi: 10.1515/JPM.2007.051.
7
Gastroschisis: sonographic diagnosis, associations, management and outcome.腹裂:超声诊断、相关因素、管理及结局
Prenat Diagn. 2008 Jul;28(7):633-44. doi: 10.1002/pd.1999.
8
Outcomes of sutureless gastroschisis closure.无缝合修补腹裂的结果。
J Pediatr Surg. 2009 Oct;44(10):1947-51. doi: 10.1016/j.jpedsurg.2009.03.027.
9
Umbilical cord as temporary coverage in gastroschisis.脐带作为腹裂的临时覆盖物。
Eur J Pediatr Surg. 2011 Oct;21(5):292-5. doi: 10.1055/s-0031-1277222. Epub 2011 Jun 15.
10
Outcomes of plastic closure in gastroschisis.先天性脐膨出的整形修复术治疗效果。
Surgery. 2011 Aug;150(2):177-85. doi: 10.1016/j.surg.2011.05.001. Epub 2011 Jun 29.

本文引用的文献

1
Is there unity in Europe? First survey of EUPSA delegates on the management of gastroschisis.欧洲存在统一标准吗?首次针对欧洲小儿外科医师协会代表开展的腹裂管理调查。
Eur J Pediatr Surg. 2013 Feb;23(1):19-24. doi: 10.1055/s-0032-1326954. Epub 2012 Oct 23.
2
Outcomes of plastic closure in gastroschisis.先天性脐膨出的整形修复术治疗效果。
Surgery. 2011 Aug;150(2):177-85. doi: 10.1016/j.surg.2011.05.001. Epub 2011 Jun 29.
3
Neonatal abdominal wall defects.新生儿腹壁缺陷。
Semin Fetal Neonatal Med. 2011 Jun;16(3):164-72. doi: 10.1016/j.siny.2011.02.003. Epub 2011 Apr 6.
4
Umbilical cord inverting technique: a simple method to utilize the umbilical cord as a biologic dressing for sutureless gastroschisis closure.脐带翻转技术:一种将脐带用作生物敷料以实现无缝合腹裂修补的简单方法。
Pediatr Surg Int. 2011 Jan;27(1):95-7. doi: 10.1007/s00383-010-2713-3.
5
Gastroschisis: an update.腹裂:最新进展
Pediatr Surg Int. 2010 Sep;26(9):871-8. doi: 10.1007/s00383-010-2679-1. Epub 2010 Aug 5.
6
Gastroschisis: clinical presentation and associations.腹裂:临床表现及相关因素
Am J Med Genet C Semin Med Genet. 2008 Aug 15;148C(3):219-30. doi: 10.1002/ajmg.c.30178.
7
A "plastic" sutureless abdominal wall closure in gastroschisis.先天性腹裂的“可塑性”无缝合腹壁闭合术
J Pediatr Surg. 2004 May;39(5):738-41. doi: 10.1016/j.jpedsurg.2004.01.040.
8
5-hydroxytryptamine and thromboxane A2 as physiologic mediators of human umbilical artery closure.5-羟色胺和血栓素A2作为人脐动脉闭合的生理介质。
J Soc Gynecol Investig. 2003 Dec;10(8):490-5. doi: 10.1016/s1071-5576(03)00149-7.