Ruiz Campo Leyre, Savirón Cornudella Ricardo, Gámez Alderete Francisco, Martínez-Payo Cristina, Pérez Pérez Pilar, Garrido Fernández Pilar, Lerma Puertas Diego
Department of Obstetrics and Gynecology, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Department of Obstetrics and Gynecology, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Taiwan J Obstet Gynecol. 2017 Oct;56(5):622-627. doi: 10.1016/j.tjog.2017.08.008.
Clarify the prognosis of the prenatal ultrasound diagnosis of umbilical cord cysts at any gestation trimester and to assess the ultrasound findings and chromosomal alterations associated to this entity.
Between 2003 and 2015 a multicenter study was carried out, collecting, in five centers in Spain, the associated findings and perinatal outcomes of 27 cases of umbilical cord cysts, regardless of gestational age of diagnosis. A bibliographic review was conducted to identify previous studies in order to compare them with our data.
In our sample, the prognosis of this finding and the neonatal outcome, when isolated, is favorable, regardless of gestational age at diagnosis, multiple or unique presentation or vanishing or persistent cysts.
It is important to properly assess the umbilical cord cyst and when is diagnosed, it is recommended to conduct a meticulous ultrasound examination searching for other associated malformations. In our study the prognosis of this finding seems to be favorable when isolated. Also, there is no relation between prognosis and gestation weeks at diagnosis. On the other hand, when we find this entity with associated anomalies, it is recommended to assess the need to carry out a karyotype.
明确孕期任何阶段产前超声诊断脐带囊肿的预后，并评估与此实体相关的超声表现及染色体改变。
2003年至2015年开展了一项多中心研究，在西班牙的五个中心收集了27例脐带囊肿的相关表现及围产期结局，诊断时不考虑孕周。进行文献回顾以识别既往研究，以便与我们的数据进行比较。
在我们的样本中，该表现的预后及单独出现时的新生儿结局良好，无论诊断时的孕周、单发或多发表现、囊肿消失或持续存在。
正确评估脐带囊肿很重要，诊断时，建议进行细致的超声检查以寻找其他相关畸形。在我们的研究中，该表现单独出现时预后似乎良好。此外，预后与诊断时的孕周无关。另一方面，当发现该实体伴有相关异常时，建议评估进行核型分析的必要性。
