22例胎儿颈部水囊瘤的产前诊断

[Prenatal diagnosis of fetal nuchal cystic hygroma in 22 cases].

作者信息

Du J, Qu L, Guo S

机构信息

Second Clinical College, China Medical University, Shenyang.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1997 Jul;32(7):425-7.

PMID:9639731

Abstract

OBJECTIVE

To investigate the early diagnosis and prognosis of fetal nuchal cystic hygroma.

METHODS

72 cases of fetal nuchal cystic hygroma diagnosed in uterus were analyzed retrospectively.

RESULTS

Most of the cases were diagnosed by B ultrasound between 15-26 gestational weeks. 55.9% the multipara had abnormal pregnant history, and 40% (4/10) of fetuses with karyotype performed had chrosome abnormality. Except for fetal deaths and induced abortions, 3 cases had term deliveries: one neonatal death, one was born with hygroma of 5.9 cm x 3.7 cm and transferred for surgery, and the other one with hygroma disappeared at the 37th week and baby was born at 40 week with normal appearance.

CONCLUSIONS

This disease is one of common fetal morphological abnormalities. Few may recover spontaneously but most have poor outcomes.

摘要

目的

探讨胎儿颈部水囊瘤的早期诊断及预后情况。

方法

回顾性分析72例产前诊断为胎儿颈部水囊瘤的病例。

结果

多数病例在孕15 - 26周通过B超诊断。55.9%的经产妇有异常孕产史，进行染色体核型分析的胎儿中40%（4/10）有染色体异常。除胎儿死亡及引产外，3例足月分娩：1例新生儿死亡，1例出生时颈部水囊瘤大小为5.9 cm×3.7 cm，转院手术治疗，另1例水囊瘤在孕37周时消失，孕40周时正常分娩。