The antenatal diagnosis, tassessment, and therapy of fetal surgical anomalies[J].Journal of Clinical Pediatric Surgery,,10():111-114.
The antenatal diagnosis, tassessment, and therapy of fetal surgical anomalies
- Keywords:
- ; Fetus; Abnormalities; Ultrasonography; Prenatal; Intervention Studies
- Document code:
- A
- Abstract:
- 【Abstract】ObjectiveReview the antenatal diagnosis, therapy, and the outcome of fetal surgical anomalies, which is supposed to provide clinical evidence for the study of antenatal assessment.MethodsCollect cases about fetal surgical anomalies diagnosed in our hospital between December 2009 and June 2010.Review the coincidence rate of diagnosis, total survival rate, constituent ratio of each system diseases, and the influence of surgical intervention on the outcome.ResultsFetal surgical anomalies usually can’t be discovered until mid trmultimester of pregnancy or late trimester of pregnancy. The proportion of fetal surgical anomalies in each system is urinary system 28.4％, digestive system 20.7％, respiratory system 11.9％, nervous system 103％, circulatory system 8.0％, locomotor system7.3％, maxillofacial deformity 2.7％, genital system 08％, multiabnormity and the else 10.0％. In our study, the coincidence rate of diagnosis is 96.4%. About 17% of fetuses with surgical anomalies get severe birth defects. 51.4% of fetuses with surgical anomalies need surgery therapy after birth. Fortunately, fetuses get a high survival rate after birth and their outcomes are gratifying.ConclusionsAntenatal diagnosis, assessment, and intervention are conducive to reduce unnecessary abortion, control fetuses born with severe birth defects, and reduce neonatal mortality.
References:
1Castillo Taucher S.Services for the care and prevention of birth defects. Reduced report of a World Health Organization and March of Dimes Foundation meeting\[J\].Rev Med Chil, 2007, 135(6):806—813.
2沈淳,郑珊, 肖现民,等.新生儿外科性疾病产前诊断的临床观察与分析\[J\].中华小儿外科杂志, 2007, 28(3): 113—116.
3王俊,施诚仁,蔡威,等.新生儿外科疾病的早期综合干预\[J\].中华小儿外科杂志, 2007, 28(3):121—123.
4Tchirikov M.Successful tracheal occlusion using ultrathin fetoscopic equipment combined with realtime threedimensional ultrasound\[J\].Eur Surg Res,2009,43(2):204—207.
5Kern C,Ange M,Morales,et al.Ex utero intrapartum treatment (EXIT), a resuscitation option for intrathoracic foetal pathologies\[J\].Swiss Med Wkly, 2007,137(19-20):279—285.
6Chu GM,Yue V,Abdullah V,et al.Exutero intrapartum treatment: a controlled approach to the management of anticipated airway problems in the newborn\[J\].Hong Kong Med J,2006,12(5):381—384.