小儿外科手术中腹部疾病的产前诊断和治疗  

Prenatal diagnosis and management of abdominal diseases in pediatric surgery

作　　者：Kuroda T. Kitano Y. Honna T. 李丹 

机构地区：[1]Department of Surgery, N atl. Ctr. Child Hlth. and Devmt. , Tokyo, Japan Dr.

出　　处：《世界核心医学期刊文摘（儿科学分册）》2005年第5期55-55,共1页

摘　　要：Purpose The aim of this study was to investigate the prenatal courses and mana gement of abdominal surgical diseases. Methods Of the 327 patients registered wi th our fetal treatment board since March 2002, 83 fetuses referred to the surgic al department were enrolled for the current study. The prenatal diagnosis, seque ntial fetal images, and perinatal courses of these cases were reviewed retrospec tively. Results Of the 83 cases, abdominal diseases were suspected in 34, lung a nd thoracic diseases in 25, genitourinary diseases in 12, and other anomalies in 12.Meconium peritonitis (MP), intestinal obstruction, and abdominal wall defec ts accounted for approximately 65%of the abdominal diseases. Five patients with prenatally diagnosed lung diseases underwent fetal surgical intervention, and 1 7 of the 22 liveborn patients survived. In contrast, none of the patients with p renatally diagnosed abdominal anomalies underwent fetal surgical intervention, y et, 23 of the 24 liveborn patients survived. However, preterm labor and hydrops were seen frequently in the patients with giant cystic MP, suggesting a fetal cr itical condition. Conclusions Although the clinical outcome of abdominal disease s seemed favorable with postnatal treatment, the current results suggested the o ccurrence of hidden mortality in utero and the potential need for fetal interven tion for some abdominal conditions, such as MP.Purpose The aim of this study was to investigate the prenatal courses and mana gement of abdominal surgical diseases. Methods Of the 327 patients registered wi th our fetal treatment board since March 2002, 83 fetuses referred to the surgic al department were enrolled for the current study. The prenatal diagnosis, seque ntial fetal images, and perinatal courses of these cases were reviewed retrospec tively. Results Of the 83 cases, abdominal diseases were suspected in 34, lung a nd thoracic diseases in 25, genitourinary diseases in 12, and other anomalies in 12.Meconium peritonitis (MP), intestinal obstruction, and abdominal wall defec ts accounted for approximately 65%of the abdominal diseases. Five patients with prenatally diagnosed lung diseases underwent fetal surgical intervention, and 1 7 of the 22 liveborn patients survived. In contrast, none of the patients with p renatally diagnosed abdominal anomalies underwent fetal surgical intervention, y et, 23 of the 24 liveborn patients survived. However, preterm labor and hydrops were seen frequently in the patients with giant cystic MP, suggesting a fetal cr itical condition. Conclusions Although the clinical outcome of abdominal disease s seemed favorable with postnatal treatment, the current results suggested the o ccurrence of hidden mortality in utero and the potential need for fetal interven tion for some abdominal conditions, such as MP.

关 键 词：小儿外科手术 产前诊断 腹部疾病 胎儿期 胎粪性腹膜炎 疾病患儿 手术干预 腹部外科疾病 泌尿生殖器 活产 

分 类 号：R726.5[医药卫生—儿科]