胎粪性腹膜炎的超声表现及其临床应用价值

Ultrasonographic Findings of Meconium Peritonitis and Its Clinical Application Value

目的探讨胎粪性腹膜炎的超声征象及其临床应用价值。方法回顾性分析25例经手术病理证实的胎粪性腹膜炎的临床资料及超声表现,总结胎粪性腹膜炎的超声征象及其在临床中的应用价值。结果胎粪性腹膜炎产前超声征象包括腹腔内钙化20/25例(80%)、肠管扩张15/25例(60%)、腹腔积液9/25例(36%)、羊水过多4/25例(16%)、胎粪性假性囊肿2/25例(8%)、阴囊钙化1/25例(4%);新生儿胎粪性腹膜炎超声征象包括肠管扩张15/25例(60%)、腹腔内钙化13/25例(52%)、腹腔积液9/25例(36%)、腹腔假性囊肿2/25例(8%)、阴囊钙化1/25例(4%)。新生儿术后治愈率23/25例(92%),未愈率为2/25例(8%)。结论超声检查能明确胎粪性腹膜炎的诊断,为及早手术治疗提供一定的影像学依据,提高新生儿的存活率,具有重要临床应用价值。

Objective To investigate the characteristic ultrasonic findings of meconium peritonitis and explore the clinical applica- tion value of uhrasonography in the diagosis of this disease. Methods The clinical data and the ultrasonic performance of 25 cases of me- conium peritonitis proved by pathology through operation were analyzed retrospectively and the ultrasonic sonographic findings of meconium peritonitis were summed up. Results Prenatal ultrasound findings of meconium peritonitis included intra - abdominal calcification 20/25 （ 80% ） , intestinal dilatation 15/25 （60%） , ascites 9/25 （ 36% ） , polyhydramnios 4/25 （ 16% ） , meconium pseudocyst 2/25 （ 8% ） , and scrotal calcification 1/25 （4%）. Newborn ultrasound findings of meconium peritonitis included intestinal dilatation 15/25 （60%） , intra - abdominal calcification 13/25 （ 52% ） , ascites 9/25 （ 36% ） , meconium pseudocyst 2/25 （ 8% ） , and scrotal calcification 1/25 （ 4% ）. Newborn cure rate was 23/25 （92%） and no cure rate was 2/25 （8%）. Conclusion Ultrasound can clarify the diagnosis of meconium peritonitis, provide certain imaging evidence for early surgical treatment which can improve the newborn survival rate and has important clinical value.