产前胎儿胆囊异常超声表现及临床预后  

Ultrasound manifestations and clinical prognosis of fetal gallbladder abnormalities before delivery

作　　者：吴茂淇 WU Mao-qi(Department of Ultrasound,The Affiliated Women and Children's Hospital of Xiamen University/Xiamen Maternal and Child Health Hospital,Xianmen,Fujiang 361000)

机构地区：[1]厦门大学附属妇女儿童医院/厦门市妇幼保健院超声医学科,福建厦门361000

出　　处：《赣南医学院学报》2022年第5期476-479,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:分析产前胎儿胆囊异常声像图表现及临床预后。方法:回顾性分析2017年1月—2021年5月于我院超声诊断胎儿胆囊异常的孕妇,分析声像图及预后。结果:产前检出胎儿胆囊异常141例:⑴胆囊增大113例:104例随访胆囊未见异常;9例合并严重畸形,其中5例染色体异常。⑵胆囊未显示24例:12例随访提示胆囊可见;8例合并严重畸形,其中2例染色体异常;4例复查未见胆囊显示,但患儿发育良好,无黄疸等异常。⑶胎儿胆囊内异常回声4例:其中3例超声复查消失;1例出生后超声提示胆囊内高回声区。结论:孤立性胆囊增大或不显示多数预后较好。合并其他畸形时发生染色体异常的风险较孤立性胆囊异常高,预后与合并畸形的严重程度及是否有合并染色体异常有关。胆囊内异常回声多可自行消失,预后较好。Objective:To analyze the ultrasonographic manifestations and clinical prognosis of fetal gallbladder abnormalities before delivery.Methods:A retrospective analysis was performed on pregnant women diagnosed with fetal gallbladder abnormalities by ultrasound in our hospital from January 2017 to May 2021,and their ultrasonography and clinical prognosis were analyzed.Results:Fetal gallbladder abnormalities were detected in 141 cases:⑴gallbladder enlargement in 113 cases.Among the 113 cases,104 cases showed no abnormality in gallbladder during follow-up;Severe malformation was found in 9 cases,including chromosomal abnormality in 5 cases.⑵Gallbladder was not shown in 24 cases,and gallbladder was visible in 12 cases.Severe malformation occurred in 8 cases,including chromosomal abnormality in 2 cases.No gallbladder was found in 4 cases in later examination,and the children developed well without jaundice and other abnormalities.⑶Abnormal echo in fetal gallbladder was found in 4 cases(abnormal echo in fetal gallbladder disappeared in 3 cases in later examination).Postnatal ultrasound revealed a hyperechoic area in the gallbladder in 1 case.Conclusion:Most patients with solitary gallbladder enlargement or not showed good prognosis.The risk of chromosomal abnormalities in patients with other malformations is higher than that of isolated gallbladder abnormalities.The prognosis and the severity of the malformations and association with chromosomal abnormalities should be considered.Most abnormal echoes in the gallbladder can disappear by themselves,and the prognosis is good.

关 键 词：产前超声 胆囊异常 染色体异常 

分 类 号：R445.1[医药卫生—影像医学与核医学]