Samuel N, Dicker D, Landman J, Feldberg D, Goldman J A
J Ultrasound Med. 1986 Aug;5(8):425-8. doi: 10.7863/jum.1986.5.8.425.
Two cases are reported of patients in the third trimester of pregnancy in whom routine ultrasound examination revealed progressive dilatation of the fetal intestines. Intestinal obstruction was suspected and amniocentesis as well as amniography with Urografin were done. In both cases a regression in dilatation of bowel was noted on ultrasonography. The Urografin swallowed by the fetus was deemed to have relieved the obstruction of the fetal intestine. The babies were delivered in good condition and passed large amounts of watery meconium per rectum. In spite of the risks inherent in the use of Urografin amniography, as well as of amniocentesis, there appear to be a great number of advantages to the treatment of meconium obstruction of the fetus in utero.
报告了两例妊娠晚期患者，其常规超声检查显示胎儿肠道逐渐扩张。怀疑有肠梗阻，于是进行了羊膜穿刺术以及使用泛影葡胺的羊膜造影。在这两例中，超声检查均发现肠道扩张有所消退。胎儿吞咽的泛影葡胺被认为缓解了胎儿肠道的梗阻。婴儿出生时状况良好，经直肠排出大量水样胎粪。尽管使用泛影葡胺羊膜造影以及羊膜穿刺术存在固有风险，但宫内治疗胎儿胎粪梗阻似乎有很多优点。
