刘艳芳,刘向娇,黄细玲,王会敏,尚宁.胎儿腹水病因与妊娠结局分析[J].中国医学影像技术,2020,36(6):
胎儿腹水病因与妊娠结局分析
Analysis of etiology and pregnancy outcome of fetal ascites
投稿时间:2019-08-11  修订日期:2020-06-14
DOI:
中文关键词:  胎儿腹水 孕周 超声特征 病因 妊娠结局
英文关键词:ascites  fetal  Pathogeny  outcome
基金项目:国家重点基础研究发展计划(973计划)
作者单位E-mail
刘艳芳 广东省妇幼保健院 lyf1981914@163.com 
刘向娇 广东省妇幼保健院  
黄细玲 广东省妇幼保健院  
王会敏 广东省妇幼保健院  
尚宁* 广东省妇幼保健院 lyf1981914@163.com 
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中文摘要:
      目的 探讨超声观察腹水出现的孕周,腹水病因及对妊娠结局的影响。方法 对超声诊断胎儿腹水58例病例进行回顾性分析,将病例分成2组,小于24周组(Ⅰ组),大于24周组(Ⅱ组),对病因进行分析,对妊娠结局进行随访。结果腹水胎儿终止妊娠22例,围产儿死亡15例,随访生后结局好27例。孕24周前出现胎儿腹水,终止妊娠率明显增加,孕24周后出现则围产儿死亡率明显增加。结论 腹水胎儿妊娠结局由腹水病因,腹水出现孕周,腹水量的变化及伴发畸形决定。
英文摘要:
      Objective To investigate the gestational weeks of ascites, ascites etiology,and the influence of pregnancy outcome. Methods 58 cases of fetal ascites diagnosed by ultrasonography were retrospectively analyzed. The cases were divided into two groups: the group less than 24 weeks (group I) and the group greater than 24 weeks (group II). The etiology were analyzed and the pregnancy outcomes were followed up. Results There were 22 cases of termination , 15 cases of perinatal death, and 27 cases of good postnatal outcomes. Fetal ascites appeared before 24 weeks of gestation, the rate of termination increased, and perinatal mortality increased significantly after 24 weeks. Conclusion The pregnancy outcome of fetal ascites is determined by the cause of ascites, the gestational week of ascites, the change of ascites volume and the accompanying malformation.
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