产前超声诊断胎儿各级肠管回声增强的临床价值分析

Clinical value of prenatal ultrasound in diagnosis of fetal intestinal echo enhancement at all levels

目的探讨产前超声诊断胎儿各级肠管回声增强的临床价值。方法回顾性分析该院2017年4月-2018年3月期间收治的118例伴胎儿肠管回声增强的孕妇,观察各级肠管回声增强情况、妊娠结局及合并症情况。结果 118例各级肠管回声增强的胎儿中,出生后排便正常的占78.81%(93/118),不良妊娠结局占21.19%(25/118);118例各级肠管回声增强的胎儿中,Ⅰ级肠管回声增强与Ⅱ级、Ⅲ级肠管回声增强中的单纯肠管回声增强、合并其他异常、出生后排便正常及不良妊娠结局对比,比较差异有统计学意义(P <0.05)。结论产前超声诊断胎儿肠管回声增强具有较高的临床价值,检查中发现肠管回声增强者,应及时进行准确分级,并综合评估各级情况,及时采取处理措施。

[Objective] To investigate the clinical value of prenatal ultrasound in the diagnosis of fetal intestinal echo enhancement at all levels.[Methods]A retrospective analysis of 118 pregnant women with fetal bowel echo enhancement treated in our hospital from April 2017 to March 2018 was performed. The enhancement of intestinal echo, pregnancy outcome and comorbidities were observed.[Results] Of the 118 fetuses with enhanced intestinal echo, there were 78.81%(93/118) of normal bowel movements after birth and 21.19%(25/118) of adverse pregnancy outcomes;in 118 fetuses with enhanced intestinal echoes at all levels, the differences in the simple intestinal echo enhancement, combined with other abnormalities, normal bowel movement after birth and adverse pregnancy outcomes among the grade Ⅰ enhancement of intestinal echoes and grade Ⅱ, grade Ⅲ enhancement of the intestinal tract echo were statistically significant(P<0.05).[Conclusion] Prenatal ultrasound diagnosis of fetal intestinal echo enhancement has high clinical value. Those who have found intestinal echo enhancement should be accurately graded in time,and comprehensively evaluate the situation at all levels and take timely treatment measures.