Abstract：Objective: To investigate the prenatal ultrasound diagnosis of fetal abdominal cystic mass and their clinical outcomes after birth. Methods: 135 cases of fetal abdominal cystic mass diagnosed by prenatal ultrasound were retrospectively analyzed from Jan. 2015 to Dec. 2017 in Obstetrics and Gynecology Hospital of Fudan University. Results: In this study, 135 cases of fetal abdominal cystic mass were included, of which 17 cases were diagnostic uncertainty or were lost after birth. The remaining 118 cases were confirmed by follow-up after birth, postnatal surgery or imaging results. According to the anatomical location, the cystic masses of fetal abdomen were mainly divided into five group, 16 cases of hepatobiliary(14%), 24 cases of digestive tract(20%), 27 cases of renal adrenal gland(23%); 38 cases of urinary obstruction(32%), and 13 cases of reproductive system(11%). Seven cases were misdiagnosed, and the coincidence rate was 93.8%. Conclusion: Prenatal ultrasound can be used to find fetal abdominal cystic mass, which plays an important role in predicting and evaluating fetal development, pregnancy outcome and postnatal treatment, providing the reference for clinical treatment.
蔡 琪，严英榴，孙 莉，孔凡斌，任芸芸. 胎儿腹腔囊性占位的产前诊断及产后随访[J]. 中国临床医学影像杂志, 2019, 30(1): 42-45.
CAI Qi, YAN Ying-liu, SUN Li, KONG Fan-bin, REN Yun-yun. Prenatal ultrasound diagnosis and postnatal follow-up of fetal abdominal cystic mass. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(1): 42-45.
1]Matsubara H, Oya N, Suzuki Y, et al. Is it possible to differentiate between choledochal cyst and congenital biliary atresia(type I cyst) by antenatal ultrasonography?[J]. Fetal Diagn Ther, 1997, 12: 306.
[2]Casaccia G, Bilancioni E, Naliom A, et al. Cystic anomalies of biliary tree in the fetus: Is it possible to make a more specific prenatal diagnosis?[J]. J Pediatr Surg, 2002, 37: 1191.
[3]Caponcelli E, Knisely AS, Davenport M, et al. Cystic biliary atresia:an etiologic and prognostic subgroup[J]. J Pediatr Surg, 2008, 43(9): 1619-1624.
[4]翁若鹏，胡文胜，蔡淑萍，等. 16例胎儿胆总管囊肿的产前诊断及预后评估[J/CD]. 中国产前诊断杂志：电子版，2014，2（6）：6-9.
[5]陈兰萍，陈淑芸，任红霞，等. 十二指肠闭锁13例产前诊断及早期手术治疗[J]. 中国药物与临床，2013，13（5）：634-635.
[6]马继东. 常见消化道畸形的产前诊断、围产期管理与新生儿外科处置[J]. 中国新生儿科杂志，2014，29（1）：3-7.
[7]Cohen-Overbeek TE, Grijseels EW, Niemeijer ND, et al. Isolated or non-isolated duodenal obstruction: perinatal outcome following prenatal or postnatal diagnosis[J]. Ultrasound Obstet Gynecol, 2008, 32(6): 784-792.
[8]Mostofian E, Ornvold K, Latchaw L, et al. Prenatal sonographic diagnosis of abdominal mesenteric lymphangioma[J]. J Ultrasound Med, 2004, 23(1): 129-132.
[9]李胜利，陈秀兰，陈宗瑛，等. 产前超声检查在胎儿泌尿系统畸形诊断中的价值[J/CD]. 中华医学超声杂志：电子版，2008，5（4）：589-594.
[10]Erol O, Erol MB, Isenlik BS, et al. Prenatal diagnosis of fetal ovarian cystic from of meconium peritonitis: no issue for delayed postnatal surgery[J]. Pediatr Surg Int, 2008, 24(9): 1061-1065.
[11]Khalil A, Cooke PC, Mantovani E, et al. Outcome of first-trimester fetal abdominal cysts: cohort study and review of the literature[J]. Ultrasound Obstet Gynecol, 2014, 43(4): 413-419.
2019, Vol. 30 
