产前超声诊断早孕期泄殖腔外翻综合征  

Prenatal ultrasound in diagnosis of omphalocele-exstrophy-imperforate anus-spinal defects complex in first trimester

作　　者：黄君红[1] 杨小红[1] 陈欣林[1] 赵胜[1] 杨帆[1] 许杨青[1] 刘思[1] 戢秀勤[1] 

机构地区：[1]湖北省妇幼保健院超声诊断科,湖北武汉430070

出　　处：《中国医学影像技术》2018年第3期399-402,共4页Chinese Journal of Medical Imaging Technology

基　　金：湖北省自然科学基金(2014CFB210)

摘　　要：目的探讨产前超声诊断早孕期泄殖腔外翻(OEIS)综合征的价值。方法回顾性分析10胎OEIS综合征胎儿早孕期产前超声声像图特征,并与引产后尸体解剖结果相对照。结果 10胎OEIS综合征胎儿于低位下腹壁见以囊性为主的膨出物;10胎均见脊柱侧弯,3胎见脊柱骶尾段脊髓脊膜膨出。8胎膀胱未显示。5胎颈项透明层增厚,其中1胎合并颈部淋巴水囊肿。1胎合并双足内翻,1胎合并左下肢缺如。10胎均合并脐带过短,4胎合并单脐动脉,1胎合并脐带囊肿。引产后尸体解剖均可见下腹壁缺损、脏器外翻,但未见完整囊性膨出物;10具胎儿均可见耻骨联合分离、无肛门、无明显外生殖器并伴膀胱外翻。结论胎儿下腹壁囊性为主的膨出物是早孕期OEIS综合征的特征性产前超声表现。Objective To explore the value of prenatal ultrasound in diagnosis of omphalocele-exstrophy-imperforate anus-spinal defects （OEIS） in first trimester. Methods Prenatal ultrasonic characteristics of 10 fetuses with OEIS complex in first trimester were retrospectively analyzed and compared with autopsy results. Results Cystic bulging in the lower anterior abdominal wall was observed in all 10 fetuses. Spinal scoliosis dysplasia was found in 10 fetuses, with myelomeningocele in 3 fetuses. No normal bladder was visualized in 8 fetuses. Thickened nuchal translucency was noticed in 5 fetuses, among which neck lymphatic hydrocele was found in 1 fetus. The bilateral clubbed feet and left lower mutilation was observed in 1 fetus, respectively. All 10 OEIS complex fetuses were found accompanied with short umbilical cord, while single umbilical artery and umbilical cord cyst were found in 4 and 1 fetus, respectively. Autopsy showed abdominal wall defects with exstrophy in 10 fetuses. However, no complete cystic bulging was found. Besides, autopsy also showed pubic symphysis separation and bladder exstrophy in 10 fetuses without obvious genitalia nor anus. Conclusion Cystic bulging in the lower anterior abdominal wall is the most common prenatal ultrasonic characteristic of OEIS complex in first trimester.

关 键 词：超声检查 产前 泄殖腔外翻综合征 妊娠初期 

分 类 号：R714.53[医药卫生—妇产科学] R445.1[医药卫生—临床医学]