胎儿食道闭锁产前超声诊断分析  

Prenatal sonographic diagnosis of fetal esophageal atresia

作　　者：胡静怡[1] 邓学东[1] 

机构地区：[1]江苏省南京医科大学附属苏州医院超声中心,215002

出　　处：《中华医学超声杂志（电子版）》2011年第4期755-760,共6页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨胎儿食道闭锁(EA)产前声像图特征,以提高胎儿食道闭锁产前超声诊断符合率。方法收集产前超声诊断、尸检或产后检查证实为胎儿食道闭锁病例共9例,分析其主要超声表现。结果 9例胎儿中3例孕周≤24周时检出,其中2例超声表现为胃泡不显示,伴有其他结构明显异常,染色体检查异常,尸检结果为单纯食道闭锁;1例超声表现为小胃泡、羊水过多伴右心室双出口、单脐动脉,尸检结果为食道闭锁伴食管气管瘘;其余6例胎儿孕周>28周时检出,其中3例超声表现为小胃泡、3例胃泡不显示;4例胎儿可见近端食道囊状扩张;3例羊水过多;3例胎儿宫内生长受限。此6例胎儿产后证实为食道闭锁合并气管食管瘘。结论胎儿食道闭锁有其特征性超声表现,产前超声对诊断胎儿食道闭锁有重要意义。Objective To investigate prenatal sonographic characteristics of fetal esophageal atresia (EA) in order to increase the prenatal detection rate of EA.Methods The sonographic findings in a total of 9 fetuses with EA which prenatally diagnosed by ultrasound and confirmed by autopsy or postnatal examination were retrospectively analyzed.Results Of all cases,3 were detected with less than or equal to 24-week gestation,in which 2 cases were shown with the non-visualization gastric bubble associated with obvious ...

关 键 词：产前超声检查 食管闭锁 

分 类 号：R714.5[医药卫生—妇产科学]