摘要
目的:探讨胎儿颈部囊性淋巴管瘤的早期诊断,原因分析及预后。方法:对22例经B型超声检查发现的胎儿颈部囊性淋巴管瘤进行回顾性分析。结果:本病多在15~16周间经B超检查得到诊断。其中9例经产妇中,5例有不良妊娠史(死产、自然流产和畸形儿分娩史)。10例胎儿染色体检查中有4例(40%)出现异常。22例中只有3例妊娠至足月分娩,其中2例新生儿存活,1例死亡。结论:本病是较常见的胎儿形态异常之一,大多预后不良。B超及染色体检查是本病的重要诊断方法。
Objective: To investigate the early diagnosis and prognosis of fetal nuchal cystic hygroma. Methods: 22 cases of fetal nuchal cystic hygroma diagnosed in uterus were analyzed retrospectively. Results: Most of the cases were diagnosed by B ultrasound between 15~26 gestational weeks. 55.9% of the multipara had abnormal pregnant history, and 40% (4/10) of fetuses with karyotype performed had chrosome abnormality. Except for fetal deaths and induced abortions, 3 cases had term deliveries: one neonatal death, one was born with hygroma of 5.9 cm×3.7 cm and transferred for surgery, and the other one with hygroma disappeared at the 37th week and baby was born at 40 week with normal appearance.Conclusions: This disease is one of common fetal morphological abnormalities. Few may recover spontaneously but most have poor outcomes.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1997年第7期425-427,共3页
Chinese Journal of Obstetrics and Gynecology