摘要
目的探讨胎儿泄殖腔外翻的产前超声特征。方法回顾性分析12胎确诊泄殖腔外翻胎儿的产前超声资料、引产/生产结果,观察泄殖腔外翻畸形的超声特征,并与病理对照。结果超声显示脐膨出11胎,膀胱未显示8胎,肛门闭锁8胎,神经管缺陷(骶尾骨包块或椎骨缺失)7胎;主要伴发异常包括下肢畸形2胎,肾脏异常5胎,外生殖器辨别不清9胎,生长发育迟缓1胎,心脏异常2胎,消化道异常2胎,单脐动脉1胎,颈后透明层增厚合并脑积水1胎。结论产前超声发现脐膨出、膀胱不显示、外生殖器辨别不清等征象时,应考虑胎儿泄殖腔外翻畸形。
Objective To investigate prenatal ultrasonographic features of fetal cloacal exstrophy.Methods Prenatal ultrasound and birth/autopsy results of 12 fetuses with cloacal exstrophy were analyzed retrospectively.The ultrasonic features of cloacal exstrophy were observed and compared with pathologic findings.Results Prenatal ultrasonography showed omphalocele in 11 cases,bladder non-visualization in 8 cases,anal atresia in 8 cases,neural tube defect(acrococcygeal mass or absence of vertebrae)in 7 cases.The mainly accompanied abnormalities included lower limb deformity in 2 cases,urinary malformation in 5 cases,ambiguous genitalia in 9 cases,intrauterine growth restriction in 1 case,heart malformation in 2 cases,digestive tract abnormalities in 2 cases,single umbilical artery in 1 case,nuchal translucency thickening with hydrocephalus in 1 case.Conclusion When prenatal ultrasound found features such as omphalocele,bladder non-visualization,anal atresia and ambiguous genitalia etc.,cloacal exstrophy should be considered.
作者
郭珍
阳彦
吴芹
周欣
汪玉琴
田成园
帅玲燕
GUO Zhen;YANG Yan;WU Qin;ZHOU Xin;WANG Yuqin;TIAN Chengyuan;SHUAI Lingyan(Department of Ultrasound,Jiangxi Maternal and Child Health Hospital,Nanchang 330000,China)
出处
《中国医学影像技术》
CSCD
北大核心
2019年第10期1531-1535,共5页
Chinese Journal of Medical Imaging Technology
基金
江西省卫生计生委科技计划(20195514)
江西省重点研发计划(20192BBGL70006)
关键词
胎儿
泄殖腔外翻
超声检查
产前
fetus
cloacal exstrophy
ultrasonography,prenatal
