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胎儿胃分裂:从诊断到分娩的回顾

Karina Felippe Monezi Pontes¹, Thalita Diógenes Muniz¹, João Victor Jacomele Caldas¹

¹Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), São Paulo, São Paulo, Brazil.

Journal of clinical ultrasound : JCU

|March 28, 2025

概括

一种先天性疾病 - - 胃,正在上升. 产前诊断是可能的,但对不良结果的超声波标记需要谨慎的解释. 胎儿监测在37周后至关重要.

科学领域:

周围生理学周围生理学
胎儿医学胎儿医学
遗传异常是一种先天性异常.

背景情况:

胃是前腹壁的一种罕见的先天性形.
观察到胃的发病率增加,可能与母亲的生活方式因素有关.
早期产前诊断是可行的,通常是在第二个三个月,有色多普勒超声波帮助检测.

研究的目的:

审查当前对胃病的理解和管理.
讨论产前诊断能力和局限性.
评估胎儿生长评估,围产期结果预测和管理策略.

主要方法:

关于胃病的当前文献的综述.
对产前诊断技术的分析,包括超声波和彩色多普勒.
对预测子宫内生长限制和不良周产期结果的方法的评估.

主要成果:

产前诊断的胃化是非常准确的,在第二个三个月.
由于基于测量的公式,子宫内生长限制率可能被高估.
产前超声波标记物对不良结果的准确性是可变的;37周后的胎儿活力监测是强制性的,因为胎儿死亡风险很高.

结论:

胃分裂的治疗需要仔细的产前监测和对超声波结果的解释.
宫内手术是一种新兴的,但尚未成为复杂病例的标准治疗选择.
生产方式不会影响围产期的结果;重点应放在胎儿健康监测上.

关键词:

胎儿外科手术胎儿手术胃肠裂的发生.产前诊断在产前诊断.交付类型的交付类型超声波标记器超声波标记器

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