产前超声在胎儿食管闭锁中的诊断价值

Diagnostic value of prenatal ultrasound in fetal esophageal atresia

目的探讨产前超声在胎儿食管闭锁中的诊断价值。方法回顾性分析我院经产后证实为食管闭锁的14例病例的产前超声资料,总结其超声表现特征。结果14例食管闭锁胎儿中,胃泡异常12例,包括胃泡未显示8例,胃泡小4例;羊水过多10例;腹围小于临床孕周者11例;颈胸部囊袋征者10例。合并羊水过多和胃泡异常10例;羊水、胃泡及腹围三项同时异常者8例,同时合并羊水过多、胃泡异常、腹围小于临床孕周、颈胸部囊袋征者7例。9例选择MRI检查,其检查结果与超声诊断一致。14例病例中,11例引产,3例出生后行手术治疗,证实与超声诊断一致。结论产前超声对诊断胎儿食管闭锁有一定价值。

Objective To explore the value of prenatal ultrasound in the diagnosis of fetal esophageal atresia.Methods The prenatal ultrasound data of 14 cases of esophageal atresia confirmed postpartum in our hospital were analyzed retrospectively.The ultrasonic features were summarized.Results Among the 14 fetuses with esophageal atresia,12 cases with abnormal gastric vesicles,including 8 cases with no gastric vesicles and 4 cases with small gastric vesicles.10 cases with more amniotic fluid.Abdominal circumference was less than clinical gestational weeks in 11 cases.There were 10 cases of cervical chest pouch syndrome.10 cases were complicated with polyhydramnios and abnormal gastric vesicles.8 cases with abnormalities of amniotic fluid,gastric vesicle and abdominal circumference,and 7 cases with more amniotic fluid,abnormal gastric vesicle,abdominal circumference less than clinical gestational week and cervical chest pouch syndrome.MRI was performed in 9 cases,and the results were consistent with ultrasonic diagnosis.Among the 14 cases,11 cases were induced labor and 3 cases underwent surgical treatment after birth,which was confirmed to be consistent with the ultrasonic diagnosis.Conclusion Prenatal ultrasound has certain value in the diagnosis of fetal esophageal atresia.