Byon Mina, Kim Gwang Jun
Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Korea.
Obstet Gynecol Sci. 2013 Jul;56(4):265-8. doi: 10.5468/ogs.2013.56.4.265. Epub 2013 Jul 15.
Prune-belly syndrome may be related to lower urinary tract obstruction (LUTO). LUTO in the early gestational age exacerbates fetal renal function and may require intrauterine intervention. If early developed LUTO causes bladder distension and abdominal musculature deficiency, it will result in prune belly syndrome. Therefore, early detection of the disease and proper treatment before the renal impairment is important. However, there are few literatures concerning the treatment of prune belly syndrome in the first trimester. We report a case of prune belly syndrome diagnosed at 11+6 weeks of gestation and the value of vesicocentesis as a modality of treatment. Ultrasound showed dilated fetal bladder and vesicocentesis was successful in reducing the volume of the bladder. However, the pregnancy was terminated upon request.
梅干腹综合征可能与下尿路梗阻（LUTO）有关。孕早期的下尿路梗阻会加重胎儿肾功能，可能需要进行宫内干预。如果早期发生的下尿路梗阻导致膀胱扩张和腹部肌肉组织缺失，就会引发梅干腹综合征。因此，在肾功能损害之前早期发现该疾病并进行适当治疗很重要。然而，关于孕早期梅干腹综合征治疗的文献很少。我们报告一例在妊娠11 + 6周时诊断出的梅干腹综合征病例以及膀胱穿刺术作为一种治疗方式的价值。超声显示胎儿膀胱扩张，膀胱穿刺术成功减少了膀胱体积。然而，应要求终止了妊娠。
