Sivit C J, Hill M C, Larsen J W, Lande I M
Department of Radiology, George Washington University Medical Center, Washington, DC 20037.
Radiology. 1987 Nov;165(2):467-9. doi: 10.1148/radiology.165.2.3310100.
The sonograms of 40 patients with second-trimester polyhydramnios were reviewed to determine (a) whether fetal and maternal conditions occur as often during second-trimester polyhydramnios as during third-trimester polyhydramnios, (b) the frequency of persistence of polyhydramnios into the third trimester, and (c) how sonography can help in maternal and fetal management. Second-trimester polyhydramnios often (62%) persisted into the third trimester. The frequencies of maternal (25%) and fetal (12%) conditions were similar to those previously reported for third-trimester polyhydramnios. Fetal anomalies were always identified on the sonogram that initially demonstrated polyhydramnios. Fetal outcome was excellent in the nondiabetic patient with polyhydramnios in whom no fetal abnormalities were detected on sonograms. In polyhydramnios associated with maternal diabetes mellitus, however, the pregnancy was often (71%) complicated by premature labor or macrosomia. In such patients serial sonographic follow-up is indicated.
回顾了40例孕中期羊水过多患者的超声检查结果，以确定：(a)孕中期羊水过多时胎儿和母亲状况的发生率是否与孕晚期羊水过多时相同；(b)羊水过多持续至孕晚期的频率；(c)超声检查如何有助于母婴管理。孕中期羊水过多常(62%)持续至孕晚期。母亲(25%)和胎儿(12%)状况的发生率与先前报道的孕晚期羊水过多相似。在最初显示羊水过多的超声检查中总能发现胎儿异常。在超声检查未发现胎儿异常的非糖尿病羊水过多患者中，胎儿结局良好。然而，在与母亲糖尿病相关的羊水过多中，妊娠常(71%)并发早产或巨大儿。对于此类患者，建议进行系列超声随访。
