超声诊断的胎儿孤立性胆囊未显示的临床预后研究

Study on Clinical Prognosis of Fetus With NVFGB Diagnosed by Ultrasound

目的研究超声诊断被应用到孤立性胆囊未显示(NVFGB)胎儿中的诊断作用与效果。方法在2017年6月—2019年7月这一时间段中,选出医院收入的41例胆囊未显示胎儿病例,对所有胎儿在产后进行追踪与回访,观察其最终的结果。结果通过超声进行明确诊断且成功进行回访的胆囊未显示胎儿共41例,而其中,共11例合并有其余系统、结构性畸形与染色体性异常;在共30例NVFGB胎儿中,共27例活产,而2例患儿出现预后不良,共25例没有出现异常,没有出现胆道闭锁。在所有活产且NVFGB胎儿中,共19例在妊娠后期或是产后进行超声回访胆囊最终得到显示。结论对于NVFGB胎儿而言,超声检测是在产前发现疾病最为高效的一种方式,所以,应借助多次连续性超声扫查、羊水生化检测等有关的方法来进行产前诊断,给临床中相应的治疗给予更多的参照。

Objective To study the diagnostic effect of nonvisualization of the fetal gallbladder(NVFGB)fetus.Methods During the period from June 2017 to July 2019,41 NVFGB cases enrolled in our hospital were selected,and all fetuses were followed up and interviewed postpartum,the final results were observed and compared.Results A total of 41 gallbladder not shown fetuses were diagnosed and successfully returned by ultrasound,and 11 of them had the following systemic,structural malformations and chromosomal abnormalities;of the 30 NVFGB fetuses,27 were alive,and 2 had a poor prognosis.A total of 25 patients had no abnormalities and no biliary atresia.In all live births and NVFGB fetuses,a total of 19 cases of ultrasound returning to the gallbladder in late pregnancy or postpartum were finally shown.Conclusion For NVFGB fetuses,ultrasonography is the most effective way to detect diseases before delivery.Therefore,multiple consecutive ultrasound scans,amniotic fluid biochemical tests and other related methods should be used for prenatal diagnosis.The corresponding treatment in the middle gives more reference.