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| Prenatal ultrasound characteristics and pregnancy outcomes of abnormal digestive system in fetus |
| Department of Ultrasound, Beijing Military General Hospital, Beijing 100700, China |
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Abstract Objective: To investigate the prenatal ultrasound characteristics and pregnancy outcomes of abnormal digestive system in fetus． Methods: During August 2012 to August 2014, 6 328 pregnant women were detected with ultrasound examination, and we conducted a follow-up study of 24 cases of abnormal fetal digestive system patients, combining with autopsy or after birth control operation. Results: The rate of abnormality in fetus digestive system was 0.38%(24/6 328). There were 19 cases of spontaneous labor(79.1%) and 5 cases of induced abortion(20.8%) in the 24 cases which were suspected with digestive system anomalies． All the cases have been confirmed by the follow-up ultrasound examination and autopsy. The prenatal diagnostic accuracy of ultrasound was 91.6%(22/24）. Two cases were missed(two cases of anal atresia). Duodenal atresia or stenosis was the most common abnormalities of fetal digestive system. Prognosis of fetus with single malformation is better. Conclusion: Color Doppler ultrasound can supply more objective and dynamic observation of the fetal digestive tract physiological changes and the anomaly, which has important application value in the diagnosis of fetus digestive system malformations.
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Received: 12 July 2015
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Corresponding Authors:
WANG Jian-hua
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[1]Veyrac C, Couture A, Saguintaah M, et al． MRI of fetal GI tract abnormalities[J]． Abdom Imaging, 2004, 29(4): 411-420．
[2]Anne B. Fetal and prenatal implications of anomalies in the gastrointestinal tract and the abdominal wall[J]. Children’s and Women’s Health, 2007, 15（6）: 720-751.
[3]廖玉媚，陈秀兰，陈琮瑛，等. 胎儿消化系统畸形产前超声诊断的追踪观察[J]. 中华医学超声杂志：电子版，2011，8（4）：761-763.
[4]罗萍，马万奎，汪玉丽. 超声诊断胎儿十二指肠闭锁1例并相关文献复习[J]. 中国临床医学影像杂志，2014，25（4）：227.
[5]解左平，金社红，袁华，等. 胎儿消化道畸形的产前超声诊断的临床价值[J]. 中国优生与遗传杂志，2012，20（4）：113.
[6]姚建芝. 超声检测胎儿肠道畸形的价值[J]. 中国现代医生，2012，48（22）：140-141.
[7]陈萍，缪仕华，陈秀伦. B超诊断胎儿小肠闭锁[J]. 中国超声医学杂志，2003，19（9）：711-712．
[8]王强. 常见胎儿消化系统超声异常的临床认识与处理[J]. 中国实用妇科与产科杂志，2007，23（5）：341-343.
[9]Rypens FF, Avni EF, Abehera MC, et al. Areas of increased echogenicity in the fetal abdomen: diagnosis and significance[J]. Radiographics, 1995, 15(6): 1329-1344.
[10]严英榴，杨秀雄，沈理. 产前超声诊断学[M]. 北京：人民卫生出版社，2002：344-356.
[11]刘品红，张霞. 产前超声诊断胎儿消化系统畸形58例分析[J]. 齐齐哈尔医学院学报，2008，29（18）：2233-2234. |
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