胎儿肠道梗阻性病变的产前超声诊断分析

目的 探讨胎儿肠道梗阻性病变的产前超声诊断价值.方法 回顾性分析我院经产前超声及产后手术病理检查确诊为胎儿肠道梗阻的15例孕妇的临床资料,分析超声图像特征并与术后病理检查结果进行比较.结果 本组15例孕妇9例超声诊断为胎儿空肠梗阻,术后病理检查确诊为空肠远端闭锁3例、空肠闭锁4例、空肠狭窄2例;3例超声诊断为胎儿回肠梗阻,术后病理检查确诊为2例回肠远端闭锁、1例回肠首部近端闭锁;1例超声诊断为胎儿多发梗阻,术后病理检查确诊为十二指肠完全闭锁,乙状结肠狭窄;2例超声诊断为胎儿结肠梗阻,术后病理检查确诊为乙状结肠增宽;产前超声诊断与术后病理诊断结果高度一致.结论 产前超声是筛查胎儿肠道梗阻性病变的重要手段,临床应用价值较高.

Prenatal ultrasound in diagnosis of fetal bowel obstruction

Objective To explore the prenatal ultrasound in diagnosis of fetal bowel obstruction. Methods Fifteen cases of pregnancy with fetal bowel obstruction were analyzed retrospectively. The ultrasonic image features and postoperative pathological were compared. Results The 15 cases of pregnancy with fetal bowel obstruction were analyzed, 9 cases with jejunal obstruction, the results of pathological showed which included 3 cases with jejunal distal atresia, 4 cases with jejunal atresia, 2 eases with jejunum narrow; 3 cases with ileocleisis, the results of pathological showed that 2 cases with ileal distal atresia, 1 cases with ileal proximal atresia; 1 case with multiple obstruction, the results of pathological showed that it was duodenum total atresia, sigrnoid colon narrow; 2 cases with colonic obstruction, the results of patho- logical showed that it was sigrnoid colon broadening; it was highly consistent with the prenatal ultrasound diagnosis resuits and the postoperative pathological diagnosis results. Conclusion It is an important means of screen fetal bowel obstruction by prenatal ultrasound diagnosis. It is of great clinical application value.