McKenna K M, Goldstein R B, Stringer M D
Department of Radiology, Mills-Peninsula Hospitals, San Mateo, Calif, USA.
Radiology. 1995 Dec;197(3):729-33. doi: 10.1148/radiology.197.3.7480746.
To investigate the outcome of fetuses with a small or absent stomach.
We retrospectively reviewed sonograms in 87 fetuses with a small or absent stomach. Gestational age, amniotic fluid volume, stomach size, morphologic defects, and karyotypes were correlated with clinical follow-up or autopsy findings.
Eight pregnancies were excluded because of oligohydramnios due to ruptured membranes. Seventy-nine fetuses with an absent (n = 27) or small (n = 52) stomach were included in the study group. Gestational ages ranged from 18 to 39 weeks (mean, 27 weeks). An abnormal outcome (structural abnormalities, intrauterine fetal or postnatal death) occurred in 23 (85%) of 27 fetuses with an absent stomach and 27 (52%) of 52 fetuses with a small stomach (combined, 63%). Karyotype was abnormal in eight (38%) of 21 fetuses with an absent stomach and two (4%) of 46 fetuses with a small stomach.
An absent or small fetal stomach after 18 weeks gestation is associated with a guarded prognosis.
研究胃小或胃缺如胎儿的结局。
我们回顾性分析了87例胃小或胃缺如胎儿的超声检查结果。将孕周、羊水量、胃大小、形态学缺陷和核型与临床随访或尸检结果进行关联分析。
8例因胎膜破裂导致羊水过少而被排除。研究组纳入了79例胃缺如（n = 27）或胃小（n = 52）的胎儿。孕周为18至39周（平均27周）。27例胃缺如胎儿中有23例（85%）以及52例胃小胎儿中有27例（52%）出现异常结局（结构异常、宫内胎儿死亡或出生后死亡）（总计63%）。21例胃缺如胎儿中有8例（38%）核型异常，46例胃小胎儿中有2例（4%）核型异常。
妊娠18周后胎儿胃缺如或胃小与预后不良相关。
