胎儿胎粪性腹膜炎4例临床分析
|
摘要
目的加强对胎儿胎粪性腹膜炎(FMP)的认识,积累临床经验。方法回顾性分析我院产科收治的4例FMP病例的特点。结果 4例FMP均在孕晚期通过B超诊断,其中1例死胎,1例放弃治疗,2例存活(1例分娩后保守治疗,1例分娩后手术治疗)且预后好。结论超声是产前诊断FMP的主要辅助检查方式,孕期及早诊断FMP,对改善新生儿预后非常重要。
Objective To improve the understanding of fetal meconium peritonitis(FMP) and accumulate clinical experience. Methods The characteristics of 4 cases of FMP admitted in our hospital were analyzed retrospectively. Results A total of 4 cases FMP were diagnosed by B-mode ultrasonography in late pregnancy. Among them, 1 case stillbirth, 1 case gave up treatment, 2 cases survived(1 case received conservative medical treatment after delivery, 1 case received surgical treatment after delivery) and the prognosis were good. Conclusion Ultrasonic is the main auxiliary examination method for prenatal diagnosis of FMP. Early diagnosis of FMP during pregnancy is very important for the prognosis of neonates.
Objective To improve the understanding of fetal meconium peritonitis(FMP) and accumulate clinical experience. Methods The characteristics of 4 cases of FMP admitted in our hospital were analyzed retrospectively. Results A total of 4 cases FMP were diagnosed by B-mode ultrasonography in late pregnancy. Among them, 1 case stillbirth, 1 case gave up treatment, 2 cases survived(1 case received conservative medical treatment after delivery, 1 case received surgical treatment after delivery) and the prognosis were good. Conclusion Ultrasonic is the main auxiliary examination method for prenatal diagnosis of FMP. Early diagnosis of FMP during pregnancy is very important for the prognosis of neonates.
引文
[1]SHYU MK,SHIH JC,LEE CN,et a1.Correlation of prenatal ultrasound and postnatal outcome in meconium peritonitis[J].Fetal Diagu Ther,2003,18(4):255-261.
[2]PACKARD GB,REYNOLDS LE.Meconium peritonitis[J].Ann Surg,1951,133(4):548-554.
[3]祝菁,杨祖菁,王磊,等.胎粪性腹膜炎的产前诊断特点和预后[J].中华围产医学杂志,2016,19(6):432-435
[4]王莹,周军,江艳.胎粪性腹膜炎的产前超声特征及临床意义[J].中国妇幼健康研究,2011,22(1):87-89.
[5]郭河清,解左平,罗婷婷.产前超声诊断胎粪性腹膜炎[J].中华围产医学杂志,2017,20(3):196-198.
[6]王静石,于泓.胎粪性腹膜炎的产前MRI诊断[J].中国保健营养,2016,26(30):394-395.
[7]肖祎炜,汪小丽,马小燕.胎儿胎粪性腹膜炎的超声诊断价值[J].临床超声医学杂志,2011,13(9):629-630.
[2]PACKARD GB,REYNOLDS LE.Meconium peritonitis[J].Ann Surg,1951,133(4):548-554.
[3]祝菁,杨祖菁,王磊,等.胎粪性腹膜炎的产前诊断特点和预后[J].中华围产医学杂志,2016,19(6):432-435
[4]王莹,周军,江艳.胎粪性腹膜炎的产前超声特征及临床意义[J].中国妇幼健康研究,2011,22(1):87-89.
[5]郭河清,解左平,罗婷婷.产前超声诊断胎粪性腹膜炎[J].中华围产医学杂志,2017,20(3):196-198.
[6]王静石,于泓.胎粪性腹膜炎的产前MRI诊断[J].中国保健营养,2016,26(30):394-395.
[7]肖祎炜,汪小丽,马小燕.胎儿胎粪性腹膜炎的超声诊断价值[J].临床超声医学杂志,2011,13(9):629-630.