Ionescu S, Andrei B, Oancea M, Licsandru E, Ivanov M, Marcu V, Popa-Stanila R, Mocanu M
Chirurgia (Bucur). 2015 Nov-Dec;110(6):538-44.
Meconium peritonitis is a rare prenatal disease with an increased rate of morbidity and mortality in the neonatal period. Distinctive features revealed by prenatal and postnatal ultrasoundmay be present: abdominal calcifications, ascites, polyhydramnios, meconium pseudocyst, echogenic mass and dilated bowel or intestinal obstruction. Establishing clear postnatal treatment and prognosis is difficult because of the heterogeneity of the results obtained by ultrasound. The aim of the study is to determine how prenatal diagnosis of meconium peritonitis is associated with perinatal management and further evolution. Clinical results are different depending on the presence of antenatal diagnosis of meconium peritonitis and its form, which can be mild or severe. Surgical treatment and management of meconium peritonitis depend on the clinical presentation of the newborn. Meconium peritonitis diagnosed prenatally differs from that of the newborn, not only concerning the mortality rates but also through reduced morbidity and overall better prognosis.
胎粪性腹膜炎是一种罕见的产前疾病，在新生儿期发病率和死亡率较高。产前和产后超声检查可能会发现一些特征：腹部钙化、腹水、羊水过多、胎粪假性囊肿、回声团块以及肠管扩张或肠梗阻。由于超声检查结果的异质性，明确产后治疗方法和预后较为困难。本研究的目的是确定胎粪性腹膜炎的产前诊断与围产期管理及后续病情发展之间的关系。临床结果因是否存在胎粪性腹膜炎的产前诊断及其形式（轻度或重度）而异。胎粪性腹膜炎的手术治疗和管理取决于新生儿的临床表现。产前诊断的胎粪性腹膜炎与新生儿期的情况不同，不仅在死亡率方面，而且在发病率降低和总体预后更好方面。
