产前超声诊断胎儿肠旋转不良伴中肠扭转的价值  

Value of prenatal ultrasound in diagnosing of fetal volvulus in intestinal malrotation

作　　者：李娜[1] 苏建强 张燕宏[1] 孙聪欣[1] 于湄[3] 甄娟[4] 李彦 LI Na;SU Jianqiang;ZHANG Yanhong;SUN Congxin;YU Mei;ZHEN Juan;LI Yan(Department of Ultrasound,Shijiazhuang Fourth Hospital,Shijiazhuang,Hebei 050011,China;Department of Medical Services,Shijiazhuang Fourth Hospital,Shijiazhuang,Hebei 050011,China;Prenatal Diagnosis,Shijiazhuang Fourth Hospital,Shijiazhuang,Hebei 050011,China;Department of Pathology,Shijiazhuang Fourth Hospital,Shijiazhuang,Hebei 050011,China)

机构地区：[1]河北省石家庄市第四医院超声科,050011 [2]河北省石家庄市第四医院医务处,050011 [3]河北省石家庄市第四医院产前诊断科,050011 [4]河北省石家庄市第四医院病理科,050011

出　　处：《重庆医学》2022年第6期1000-1002,1007,共4页Chongqing medicine

基　　金：2019年度河北省医学科学研究重点课题计划(20191440)。

摘　　要：目的探讨产前超声诊断胎儿肠旋转不良伴中肠扭转(VIM)的临床价值。方法回顾性分析2017年1月1日至2020年7月22日该院行产前超声检查的58812例孕妇病历资料,共发生6例胎儿VIM。具体分析6例胎儿VIM病例的超声图像特征,并追踪其预后。结果6例胎儿VIM病例超声图像均表现为扩张肠管呈“漩涡征”,彩色多普勒显示肠系膜上静脉围绕肠系膜上动脉根部扭转形成的血管“漩涡征”图像,部分病例伴有胃扩张、腹水、腹腔内钙化及羊水过多等征象。出生后6个月3例胎儿正常,2例发生术后短肠综合征,1例死亡。结论产前超声诊断胎儿VIM具有较高的准确率。Objective To investigate the clinical value of prenatal ultrasound in the diagnosis of fetal volvulus in intestinal malrotation(VIM).Methods The medical records of 58812 pregnant women with prenatal ultrasound examination in the hospital from January 1,2017 to July 22,2020 were retrospectively analyzed,and six cases of fetal VIM were detected.The characteristics of ultrasound images of six fetal VIM cases were specifically analyzed and the prognosis was traced.Results Ultrasound images of six fetal VIM cases all showed"vortex signs"of dilated intestinal tube,and color Doppler showed vascular"vortex signs"images of the upper mesenteric vein twisting around the root of the upper mesenteric artery,and some cases were accompanied by gastric expansion,abdominal water,intraabdominal calcification and excessive amniotic fluid.After six months of birth,three fetuses were normal,two had postoperative short bowel syndrome,and one died.Conclusion Prenatal ultrasound had a high accuracy in the diagnosis of fetal VIM.

关 键 词：产前超声诊断 胎儿 肠扭转 肠旋转不良 肠梗阻 超声特征 临床结局 

分 类 号：R445.1[医药卫生—影像医学与核医学]