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胎儿肝内病变的产前诊断及产后结局病例系列

Case series of prenatal diagnosis of fetal intrahepatic lesions and postnatal outcome.

作者信息

Pathak Sangeeta, Grosu Liliana

机构信息

Department of Obstetrics and Gynaecology, Hinchingbrooke Hospital, North West Anglia NHS Foundation Trust, Cambridgeshire, UK.

出版信息

Ultrasound. 2019 May;27(2):127-130. doi: 10.1177/1742271X18821147. Epub 2019 Jan 17.

Abstract

With advancing technology, it is becoming common for antenatal ultrasound to detect echogenic lesions in fetal abdomen. Paucity of data in this field, however, makes it difficult to counsel patients. We report four cases of fetal liver echogenic lesions, postnatal outcome (delivered during 2015-2016) and a literature review to increase awareness. Intrahepatic calcification is relatively common with an incidence of approximately 5-10 in 10,000 pregnancies. Prenatal detection of echogenic lesions in fetal abdomen causes huge anxiety and stress to parents; therefore, it is important for the ultrasonographers to be up to date with the evidence-based management of these lesions. Most lesions would carry no or little risk to neonate; however, few cases may require careful planning to optimise the time and place of delivery. We describe four cases between February 2015 and December 2016 using machine Voluson S6 and E8.

摘要

随着技术的进步,产前超声检测胎儿腹部的强回声病变变得越来越普遍。然而,该领域的数据匮乏使得向患者提供咨询变得困难。我们报告了4例胎儿肝脏强回声病变病例、产后结局(于2015年至2016年分娩)并进行文献综述以提高认识。肝内钙化相对常见,在10000例妊娠中的发生率约为5 - 10例。产前检测到胎儿腹部的强回声病变会给父母带来巨大的焦虑和压力;因此,超声检查人员了解这些病变的循证管理方法很重要。大多数病变对新生儿的风险很小或没有风险;然而,少数病例可能需要仔细规划以优化分娩时间和地点。我们使用Voluson S6和E8机器描述了2015年2月至2016年12月期间的4例病例。

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