Prenatal ultrasound diagnosis and clinical outcome analysis of fetal intestinal dilation

XIANG Jinlian; YAN Yingliu; KONG Fanbin; REN Yunyun

doi:10.19732/j.cnki.2096-6210.2021.02.010

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Prenatal ultrasound diagnosis and clinical outcome analysis of fetal intestinal dilation

更新时间：2025-12-15

- Prenatal ultrasound diagnosis and clinical outcome analysis of fetal intestinal dilation
- Vol. 30, Issue 2, Pages: 114-118(2021)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2021.02.010
  CLC：
- Published Online：28 April 2021，
  
  Published：28 April 2021
- 稿件说明：
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项金莲,严英榴,孔凡斌,等. 胎儿肠管扩张的产前超声诊断与临床结局分析[J]. 肿瘤影像学, 2021, 30(2): 114-118 https://doi.

org/10.19732/j.cnki.2096-6210.2021.02.010
项金莲,严英榴,孔凡斌,等. 胎儿肠管扩张的产前超声诊断与临床结局分析[J]. 肿瘤影像学, 2021, 30(2): 114-118 https://doi. DOI： 10.19732/j.cnki.2096-6210.2021.02.010.

org/10.19732/j.cnki.2096-6210.2021.02.010 DOI：

摘要

目的：

探讨胎儿肠管扩张的超声表现与出生后正确诊断及新生儿预后之间的关系。方法：回顾并分析2015年1月2019年11月超声发现胎儿肠管扩张并参加多科会诊的41例患者。

结果：

41例患者，皆随访至胎儿出生后1个月。① 胎儿十二指肠扩张16例（16/41，39.0%），其中6例终止妊娠，1例孕30周胎死宫内，9例胎儿出生后手术。术后病理学检查：3例环状胰腺，3例十二指肠膜状闭锁，2例十二指肠狭窄，1例十二指肠旋转不良。② 胎儿小肠扩张13例（13/41，31.7%），其中7例（7/13，53.8%）足月娩出后排便正常，3例终止妊娠，3例胎儿出生后手术。术后病理学检查：1例十二指肠膜状闭锁，1例十二指肠狭窄，1例小肠远端闭锁合并肠穿孔。③ 胎儿结肠扩张11例（11/41，26.8%），其中7例（7/11，63.6%）足月娩出后排便正常，1例终止妊娠，1例新生儿死亡，2例胎儿出生后手术。术后病理学检查：结肠膜状闭锁。④ 胎儿小肠及结肠皆扩张1例（1/41，2.4%），足月娩出排便正常。

结论：

胎儿十二指肠扩张或合并其他异常时预后较单纯小肠或结肠扩张差，部分小肠或结肠扩张可能是正常胎儿一过性表现。

Abstract

Objective:

To explore the relationship between ultrasound manifestations of fetal intestinal dilatation

correct diagnosis after birth and neonatal prognosis.

Methods:

A retrospective analysis was performed on 41 cases of fetal intestinal dilatation found by ultrasound and participated in multi department consultation from January 2015 to November 2019.

Results:

A total of 41 cases were followed up to one month after birth. ① There were 16 cases of duodenal dilatation (16/41

39.0%)

6 cases of p

regnancy termination

1 case of intrauterine fetal death within 30 weeks of pregnancy

and 9 cases of post-natal surgery. Postoperative pathology: 3 cases were of annular pancreas

3 cases were of duodenal membranous atresia

2 cases of duodenal stenosis and 1 case of duodenal malrotation. ② There were 13 cases of intestinal dilatation (13/41

31.7%)

7 cases (7/13

53.8%) of normal defecation after full-term delivery

3 cases of pregnancy termination

and 3 cases of surgery after birth. Postoperative pathology: there were 1 case of duodenal membranous atresia

1 case of duodenal stenosis

and 1 case of distal intestinal atresia combined with intestinal perforation. ③ There were 11 cases of colonic dilatation (11/41

26.8%)

7 cases (7/11

63.6%) of normal defecation after full-term delivery

1 case of pregnancy termination

1 case of neonatal death

and 2 cases of operation after birth. Postoperative pathology: colonic membranous atresia. ④ There was 1 case of dilatation of small intestine and colon (1/41

2.4%)

and defecation were normal after full-term delivery.

Conclusion:

The prognosis of fetus with duodenal dilatation or other abnormalities is worse than that of simple small intestine or colon dilatation. Partial small intestine or colon dilatation may be a transient manifestation of normal fetus.

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