胎儿胎粪性腹膜炎的超声诊断

The ultrasonic diagnosis of fetal meconium peritonitis

目的探讨胎儿胎粪性腹膜炎超声声像图特点及其诊断价值。方法对超声诊断的17例胎粪性腹膜炎胎儿临床资料进行回顾性分析,总结胎儿胎粪性腹膜炎的超声声像图表现。结果应用超声诊断的17例胎粪性腹膜炎胎儿均经引产证实。超声声像图表现为腹腔内钙化强回声15例,胎儿腹水13例,胎粪性假囊肿3例,肠管扩张3例,羊水过多5例。胎儿胎粪性腹膜炎的声像图特点主要是腹腔内钙化强回声、腹水、胎粪性假囊肿、肠管扩张、羊水过多等。结论超声检查胎儿胎粪性腹膜炎有很多特征性声像图,能为临床提供非常有价值的图像资料,对于明确诊断胎儿胎粪性腹膜炎以及观察病变的发展变化,都具有十分重要的意义。

Objective To evaluate ultrasonic characteristics and diagnostic value of fetal meconium peritonitis. Methods We retrospectively analysed the ultrasonic sonograms of 17 patients with fetal meconi- um peritonitis diagnosed by induced abortion operation. Results There were 15 cases with strong calcific echo in their abdominal cavities, 13 cases with fetal ascites, 3 cases with meconium pseudocyst,3 cases with intestinal canal dilation and 5 cases with polyhydramnios. Conclusions The ultrasonic characteristics of fe- tal meconium peritonitis mainly include strong abdominal calcific echo, fetal ascites, meconium pseudocyst, intestinal canal dilation and polyhydramnios. The ultrasonic characteristics of fetal meconium peritonitis not only could help clinical diagnosis but also follow development of disease.