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过高的胎儿肠道:目前基于证据的产前诊断和管理
Flaminia Vena1,2, Alessandra Mazza1, Martina Bartolone1,2
1Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.
Journal of clinical ultrasound : JCU
|August 9, 2023
概括
生产前超声检查发现的生态胎儿肠道 (EB) 可以表明严重的疾病. 早期检测和多学科管理对于改善胎儿结果至关重要.
科学领域:
- 周围生理学 周围生理学
- 医疗成像医学成像
- 遗传学 是一个遗传学.
背景情况:
- 生殖性胎儿肠 (EB) 是产前超声波发现,发生在0.2%-1.4%的怀孕中.
- 它是由类似于或大于骨的肠道回声性来定义的,这是一种主观的评估,具有观察者之间的变异性.
- 病理生理学涉及美静止和超细胞性,通常与潜在的疾病有关.
研究的目的:
- 定义一个临床途径来管理孕妇与胎儿EB.
- 引导排除与EB相关的可疑病理原因.
- 改善带有EB的胎儿的产前管理和产后随访.
主要方法:
- 对现有关于回声产生的胎儿肠道的文献的综述.
- 对相关疾病和围产期结果的分析.
- 制定一个多学科的管理策略.
主要成果:
- EB可以是一个孤立的发现或与结构异常相关.
- 相关疾病包括囊性纤维化,感染,沙拉西米亚,胎内出血和胎儿生长限制.
- 患有EB的胎儿面临子宫内生长限制,胎盘功能障碍和围产死亡的风险增加.
结论:
- 胎儿EB需要彻底的产前管理和产后随访.
- 由于各种潜在原因,管理需要多学科的方法.
- 预后受到EB发现的特定病理生理学的影响.
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