中晚期妊娠正常胎儿胃泡大小研究及其临床意义  

Study on Gastric Vesicle Size of Normal Fetus in Mid-Late Pregnancy and Its Clinical Significance

作　　者：费智慧 万学丽 李佳妮 伍玲琳 黄绵珍 何培平 Fei Zhi-hui;Wan Xue-li;Li Jia-ni;Wu Ling-lin;Huang Mian-zhen;He Pei-ping(Changde Maternal and Child Health Care Hospital,Changde 415000,Hunan Province,China;Anxiang Maternal and Child Health Care Hospital,Changde 415600,Hunan Province,China;Taoyuan Maternal and Child Health Care Hospital,Changde 415700,Hunan Province,China;Shimen Maternal and Child Health Care Hospital,Changde 415300,Hunan Province,China;Hanshou Maternal and Child Health Care Hospital,Changde 415900,Hunan Province,China;Li County Maternal and Child Care Family Planning Service Center,Changde 415500,Hunan Province,China)

机构地区：[1]常德市妇幼保健院,湖南常德415000 [2]安乡妇幼保健院,湖南常德415600 [3]桃源妇幼保健院,湖南常德415700 [4]石门妇幼保健院,湖南常德415300 [5]汉寿妇幼保健院,湖南常德415900 [6]澧县妇幼保健计划生育服务中心,湖南常德415500

出　　处：《中国社区医师》2022年第7期89-91,共3页Chinese Community Doctors

基　　金：常德市科学技术局技术研究与开发资金项目(编号:2018S064)。

摘　　要：目的:探讨常德地区中晚期妊娠胎儿胃泡横径的正常参考值及胃泡大小异常的临床意义。方法:选取常德市妇幼保健院、各县级妇幼保健院及部分县人民医院2019年3月-2020年2月进行系统超声检查的10129例胎儿进行腹围横切面和胃泡冠状切面的胃泡横径进行测量,并研究不同孕周的胎儿胃泡大小及胃泡大小异常时的临床意义。结果:10070例产前未见消化系统异常的孕18~35周胎儿胃泡横径平均为(1.10±0.29)cm,胃泡横径随孕周的增加而增加。59例产前超声怀疑消化道异常的胎儿中,食管闭锁合并食管气管瘘的胃泡不显示或小于正常。十二指肠梗阻的胎儿胃泡横径平均为(1.41±0.45)cm,小肠闭锁的胎儿胃泡横径平均为(1.48±0.52)cm,膈疝胎儿中胃泡横径平均为(1.09±0.45)cm。结论:正常胎儿的胃泡横径随孕周增加而增加,胃泡横径的正常参考值可作为胎儿消化道畸形的一项辅助评估指标。Objective:To explore the normal reference value of transverse diameter of gastric vesicle and the clinical significance of abnormal size of gastric vesicle in mid-late pregnancy fetus in Changde area.Methods:A total of 10129 fetuses underwent systematic ultrasound examination in Changde Maternal and Child Health Care Hospital,Maternal and Child Health Care Hospital at various county levels and some county-level people’s hospitals from March 2019 to February 2020 were selected.The transverse diameter of gastric vesicles in abdominal circumference transvers section and gastric vesicle coronal section were measured.The size of fetal gastric vesicles at different gestational weeks and the clinical significance of abnormal gastric vesicle size were studied.Results:The average transverse diameter of gastric vesicles in 10070 fetuses with no abnormal digestive system before pregnancy was(1.10±0.29)cm at 18-35 gestational weeks.The transverse diameter of gastric vesicles increased with the increase of gestational age.In 59 fetuses with abnormal digestive tract suspected by prenatal ultrasound,the gastric vesicles of esophageal atresia complicated with esophagotracheal fistula were not displayed or smaller than normal.The average transverse diameter of gastric vesicle in fetus with duodenal obstruction was(1.41±0.45)cm,that in fetus with small intestinal atresia was(1.48±0.52)cm,and that in fetus with diaphragmatic hernia was(1.09±0.45)cm.Conclusion:The transverse diameter of gastric vesicle in normal fetus increases with the increase of gestational age,and the normal reference value of transverse diameter of gastric vesicle can be used as an auxiliary evaluation index of fetal digestive tract malformation.

关 键 词：超声检查 妊娠 胃泡横径 消化道畸形 

分 类 号：R714.51[医药卫生—妇产科学]