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21例先天性胆总管囊肿的产前诊断与预后评估

Prenatal diagnosis and prognosis assessment of congenital choledochal cyst in 21 cases.

作者信息

Weng R, Hu W, Cai S, Guo X, Luo Q

机构信息

a Department of Obstetrics , Women's Hospital, Zhejiang University School of Medicine , Hangzhou , China.

出版信息

J Obstet Gynaecol. 2016;36(3):324-7. doi: 10.3109/01443615.2015.1050648. Epub 2015 Oct 14.

Abstract

To investigate the clinical significance of prenatal diagnosis and prognosis evaluation of congenital choledochal cyst (CCC), we reviewed CCC cases of diagnosed antenatally in our hospital from 2007 to 2013, summarised and analysed prenatal sonographic features and clinical outcomes, and followed these cases up to six months after birth. We found that induced labour was conducted in 7 cases, and term labour progressed smoothly in 14 cases among the 21 cases. Operations were completed within 3 months after birth and all the operation cases received a good prognosis. We suggest that CCC is one kind of non-lethal congenital malformation which can be treated after birth. Prenatal diagnosis is important for its treatment after birth, because early surgery after birth is associated with good treatment outcomes and prognosis.

摘要

为探讨先天性胆总管囊肿(CCC)产前诊断及预后评估的临床意义,我们回顾了我院2007年至2013年产前诊断的CCC病例,总结并分析产前超声特征及临床结局,并对这些病例随访至出生后6个月。我们发现,21例病例中7例行引产,14例足月分娩过程顺利。出生后3个月内完成手术,所有手术病例预后良好。我们认为CCC是一种非致死性先天性畸形,出生后可治疗。产前诊断对其出生后治疗很重要,因为出生后早期手术与良好的治疗效果及预后相关。

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