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超声对胃肠道异常的产前诊断。我们学到了什么?

Prenatal diagnosis of gastrointestinal anomalies with ultrasound. What have we learned?

作者信息

Skupski D W

机构信息

New York Hospital-Cornell Medical Center, Department of Obstetrics and Gynecology, New York 10021, USA.

出版信息

Ann N Y Acad Sci. 1998 Jun 18;847:53-8. doi: 10.1111/j.1749-6632.1998.tb08926.x.

DOI:10.1111/j.1749-6632.1998.tb08926.x
PMID:9668698
Abstract

The use of routine obstetric ultrasound has been shown to accurately diagnose fetal gastrointestinal anomalies, both during and after the midtrimester. These are among the most accurately diagnosed of all anomalies, comprising 5-7% of all fetal anomalies. From a review of the literature it is clear that the use of routine ultrasound allows: (1) the detection of multiple anomalies that are often present and affect outcome significantly, (2) preparation for delivery at a tertiary center where neonatal surgical experience will allow optimal outcome, and (3) decisions about mode and timing of delivery in cases where this is important, i.e., cases of omphalocele and gastroschisis.

摘要

常规产科超声检查已被证明能够在孕中期及之后准确诊断胎儿胃肠道异常。这些异常是所有胎儿异常中诊断最为准确的类型之一,占所有胎儿异常的5%至7%。从文献综述中可以清楚地看出,常规超声检查的应用能够:(1)检测出通常并存且对结局有显著影响的多种异常;(2)在具备新生儿手术经验从而能实现最佳结局的三级中心为分娩做好准备;(3)在诸如腹裂和脐膨出等重要情况下,就分娩方式和时机做出决策。

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Prenatal diagnosis of gastrointestinal anomalies with ultrasound. What have we learned?超声对胃肠道异常的产前诊断。我们学到了什么?
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