摘要
目的探讨胎儿胃重复畸形的产前超声图像特征。方法回顾性分析12例胎儿胃重复畸形病例的声像图特点，随访胎儿预后情况，总结其超声表现及与临床病理的联系。结果胎儿胎龄19-36周，胃重复畸形均为囊肿型。11例由产前超声诊断，均正常出生，其中2例经手术治疗后痊愈；1例误诊为胆总管囊肿，于诊断后1周因同时合并双侧侧脑室积水引产。胃重复畸形的产前超声经放大图像检查，表现为胃重复囊肿与胃泡有共同壁，囊肿紧邻胃泡，囊壁厚，囊壁声像图显示为强-弱-强分层结构，与胃泡壁相延续。结论胎儿胃重复畸形有特征性超声图像，产前可明确诊断，对于产前咨询与出生后及时治疗具有重要意义。
Objective To analyze the ultrasonic and clinical features of fetal gastric duplication. Methods Ultrasonographic apperance of 12 fetal stomach duplication cases were reviewed and followed up. Results The age of 12 fetal gestational duplication cases ranged from 19 weeks to 36 weeks. All cases were cystic-type,and 11 cases of gastric duplication were diagnosed by antenatal ultrasonography. Eleven cases were normal labored,2 patients were cured after surgical management. One case was misdiagnosed to be bile duct cyst, and was induced in 1 week after diagnosis because of simultaneous combination of hydrocephalus in bilateral ventricle. Stomach duplication prenatal sonographic findings were cysts near the stomach with thickened wall in local enlarged images. The cystic wall included 3 layers of strong-weak- strong hierarchical structure as normal stomach wall. Conclusions Fetal stomach duplication has characteristic ultrasound features, and can be definitively diagnosed prenatally. Early diagnosis is of great importance for prenatal consultation and timely treatment after birth.
作者
王允芹
赵艳
李传红
Wang Yunqin;Zhao Yan;Li Chuanhong.(Department of Ultrasound, Yantaishan Hospital, Yantai 264000, Chin)
出处
《中华超声影像学杂志》
CSCD
北大核心
2018年第5期431-433,共3页
Chinese Journal of Ultrasonography
关键词
超声检查
胎儿
胃重复畸形
Ultrasonography
Fetus
Gastric duplication
