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| 題 名 | Prenatal Diagnosis of Body Stalk Anomaly:Report of One Case=產前診斷胎兒體莖異常:病例報告 |
|---|---|
| 作 者 | 王建華; 祝靖平; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
| 卷 期 | 36:4 1997.12[民86.12] |
| 頁 次 | 頁149-152 |
| 分類號 | 417.132 |
| 關鍵詞 | 體莖異常; 超音波; Body stalk anomaly; Ultrasonography; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景:在胚體摺疊過程中發生嚴重異常時,會導致無法形成正常的臍帶,並合併 大量腹腔及胸腔器官膨出。此一致命的體莖異常非常罕見。 病例報告:本篇描述一位33歲第二胎的產婦,在妊娠18週時至本院產檢,發現胎兒 分化異常。超音波檢查顯示,羊水減少,胎兒胸椎嚴重前凸,腹腔窄小且 合併發育不完整的前腹壁。胎兒的肝、胃、脾、大小腸等皆被一層薄膜所 覆蓋而膨出於腹腔外,直接黏附在胎盤及子宮壁上。產後檢視胎兒不正常 的發育情形與產前的超音波診斷是一致的。 結論:體莖異常是一種嚴重腹腔壁的缺陷。雖然胎兒皆會死亡,但是可以憑藉母 體血清中胎兒蛋白的增加及仔細的超音波檢查,在早期產檢篩檢出來。因 此認識它早期在超音波下的主要特徵是必要的。 |
| 英文摘要 | Background: Severe maldevelopment of embryonic body folding can result in a failure to form an umbilical cord and massive intraabdominal and intrathoracic herniation. This lethal condition is very rare. Case report: A 33-year-old G4P1 pregnant woman presented to the hospital with an abnormal intrauterine pregnancy of 18 weeks. An ultrasound examination of the fetus revealed oligohydramnios, severe lordosis of the spine, and a small abdominal cavity without well-defined anterior abdominal wall. The liver, stomach, pancreas and intestines were in the membranous sac, which was attached to the placenta and uterine wall. After termination, the fetus showed abnormalities compatible with the prenatal ultrasongraphic findings. Conclusion: Body stalk anomaly, which is uniformly lethal, can be diagnosed prenatally by ultrasonography. Hence, it is necessary to recognize its cardinal features on ultrasonography to permit early termination of pregnancy or, if the pregnancy is continued into the third trimester, to avoid unnecessary operative intervention. |
本系統中英文摘要資訊取自各篇刊載內容。