摘要
目的分析孤立性胎儿腹腔积液的病因及预后,探讨宫内治疗的可行性。方法回顾性分析2013年11月至2019年11月在郑州大学第一附属医院产科进行宫内治疗的4例孤立性胎儿腹腔积液患者的临床资料。结果4例患者均行胎儿腹腔积液穿刺,其中3例同时行羊水减量,分别延长孕周2天~62天。3例(60%)为乳糜腹,新生儿预后良好。另外1例为胎粪性腹膜炎,患儿在外科手术后发生呼吸衰竭死亡。结论孤立性胎儿腹腔积液通过宫内干预,可以延长孕周,阻止疾病的进展,改善妊娠结局。
Objective To analyze the etiology and prognosis of isolated fetal ascites and to explore the feasibility of intrauterine interventions.Methods The clinical data of 4 patients with isolated fetal ascites who received intrauterine interntions in the Department of Obstetrics of the First Affiliated Hospital of Zhengzhou University from November 2013 to November 2019 were retrospectively analyzed.Results All the 4 patients underwent fetal abdominal paracentesis,three of them underwent simultaneously amnioreduction.The gestational period were extended by 2 to 62 days respectively.Three of the neonate(60%)diagnosed with chyloperitoneum had good prognosis,while another neonate with meconium peritonitis died of respiratory failure after surgery.Conclusion Through intrauterine interventions,isolated fetal ascites can prolong the gestational period,prevent the progress of the disease,and improve the pregnancy outcome.
作者
张振宇
刘惠娜
于俊杰
ZHANG Zhenyu;LIU Huina;YU Junjie(Department of Obstetrics,The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450052,P.R.China)
出处
《中国计划生育和妇产科》
2021年第3期90-93,共4页
Chinese Journal of Family Planning & Gynecotokology
关键词
胎儿腹腔积液
宫内治疗
预后
isolated fetal ascites
intrauterine interventions
prognosis
