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胎儿腹部病变的产前诊断及围产期处理 被引量:5

The experience of prenatal diagnosis and perinatal management of congenital abdominal malformation:Reports of 21 cases
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摘要 目的总结胎儿腹部病变的产前诊断经验。方法对21例产前超声检查发现腹部异常的可疑畸形胎儿进行动态观察和围产期处理。结果20例患儿符合诊断,并根据出生后的检查对18例进行了随访、早期手术或择期手术,1例伴有染色体异常的肛门闭锁患儿放弃治疗,1例双侧重度肾积水患儿于妊娠38周终止妊娠。结论对产前超声检查发现腹部异常者应进行产前咨询和动态观察,根据出生后的综合检查进行围产期处理,有助于提高围产期腹部畸形儿的治疗效果。 Objective Twenty-one cases of suspected abdominal malformations were detected in prenatal uhrasonographic diagnosis. Eighteen cases were accepted following-up, early operation or selective operation. Methods 21cases of suspected abdominal malformation fetus who were prenatal uhrasonographic diagnosed, were dynamic observed and managed. Results On the bases of postnatal examination diagnosis of 20 cases were confirmed, 18 cases of them were followed up, early operation, one cases of analatresia infant with chromosome abnormality abandoned treatment, one case of bilateral serious hydronephrosis stopped pregnancy at pregnant 38 weeks. Conclusion Using prenatal uhrasonographic detected the abdomen abnormal gravida should take a prenatal consultation, and was dynamically observed. Then, on basis of comprehensive examination data, carrying management of perinatal period, it is useful to improve prognosis of fetus with abdomen deformity.
出处 《临床小儿外科杂志》 CAS 2007年第2期10-11,34,共3页 Journal of Clinical Pediatric Surgery
关键词 畸形/超声检查 畸形/治疗 超声检查 产前 围产期学 Malformation/ultrasonogray Malformation/treatment Ultrasonogray,Prenatal Perinatology
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