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胎儿腹股沟阴囊疝的产前诊断和处理:病例报告并文献复习。

Antenatal diagnosis and management of fetal inguinoscrotal hernia: A case report with literature review.

机构信息

Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Gyeonggi, Republic of Korea.

Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Republic of Korea.

出版信息

J Clin Ultrasound. 2024 Oct;52(8):1198-1203. doi: 10.1002/jcu.23748. Epub 2024 Jun 12.

Abstract

Primary inguinal hernia is a common pediatric surgical condition with an incidence of 1%-4%, which is higher in male or premature newborns. It is characterized by the protrusion of abdominal contents through inguinal canal in newborns. However, prenatal fetal inguinal hernia is a rare condition because the pressure of amniotic fluid is similar to intra-abdominal pressure. Only 19 English publications were found with 21 reported cases until now. We report belatedly discovered inguinoscrotal hernia at 38 weeks' gestation. Usually, the fetal testicular descent begins from 24 to 25 weeks' gestation, and it is found after 32 weeks of gestational age in 97% of the fetuses. Therefore, it is necessary to get into the habit of checking fetal testicles during routine US after at least 32 weeks of gestational age.

摘要

原发性腹股沟疝是一种常见的小儿外科疾病,发病率为 1%-4%,男性或早产儿发病率较高。其特征是新生儿的腹部内容物通过腹股沟管突出。然而,产前胎儿腹股沟疝是一种罕见的情况,因为羊水的压力与腹腔内的压力相似。迄今为止,仅发现了 19 篇英文出版物,报告了 21 例病例。我们报告一例在 38 周妊娠时才发现的迟发性腹股沟阴囊疝。通常情况下,胎儿睾丸下降始于 24-25 周妊娠,97%的胎儿在 32 周妊娠后可被发现。因此,有必要在妊娠至少 32 周后,在常规 US 检查中养成检查胎儿睾丸的习惯。

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