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[腹壁缺损及肠道狭窄的产前超声诊断]

[Prenatal sonographic diagnosis of abdominal wall defects and stenoses of the intestinal tract].

作者信息

Wilhelm C, Klosa W, Müller M, Schillinger H

机构信息

Universitäts-Frauenklinik Freiburg im Breisgau.

出版信息

Geburtshilfe Frauenheilkd. 1988 Apr;48(4):240-5. doi: 10.1055/s-2008-1026495.

Abstract

Today prenatal sonographic diagnosis of abdominal defects and stenoses of the intestine is possible without few exceptions during general screening in the 20th week of gestation. In a retrospective study, 56 malformations in this area were investigated, which had been diagnosed at the University Hospital Freiburg during 1973 and 1985. Besides the criteria of sonographic diagnosis the etiology, incidence, prognostic factors, the course of pregnancy and delivery and the postpartal management are described. The rate of direct sonographic diagnosis in this area has increased from 26% up to 91%. The worst prognosis was found in infants with diaphragmatic hernias and exomphalos, whereas infants with stenosis of duodenum and small intestine had the best prognosis.

摘要

如今,在妊娠20周进行常规筛查时,除了极少数例外情况,产前超声诊断肠道的腹部缺陷和狭窄已成为可能。在一项回顾性研究中,对1973年至1985年间在弗赖堡大学医院诊断出的该区域56例畸形进行了调查。除了超声诊断标准外,还描述了病因、发病率、预后因素、妊娠和分娩过程以及产后处理。该区域超声直接诊断率已从26%提高到91%。发现患有膈疝和脐膨出的婴儿预后最差,而患有十二指肠和小肠狭窄的婴儿预后最佳。

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