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目的探讨早孕期胎儿腹腔囊性肿物的临床预后。方法回顾性分析早孕期于我院行产前超声检查发现腹腔囊性肿物的胎儿16例,并行追踪随访,分析其来源及分布情况,探讨其转归及预后。结果早孕期产前超声发现腹腔囊性肿物并成功随访胎儿16例,囊肿长径7~57mm,平均22mm,其中9例为膀胱测值增大,1例为脐尿管囊肿,1例为先天性胆总管囊肿,4例腹腔囊肿中孕期复查消失,1例15周时胎死宫内,未行尸检,腹腔肿物性质不明。8例行胎儿染色体核型检查,其中18-三体综合征1例,13-三体综合征1例,其余正常。结论早孕期的腹腔囊性肿物部分来源于泌尿系异常引起的膀胱测值增大,大多预后不良,其他来源者大多预后较好。
Objective To investigate the clinical prognosis of fetal abdominal cysts in early pregnancy. Methods A retrospective analysis of 16 cases of fetuses with intraperitoneal cystic masses detected by prenatal ultrasound in our hospital during the first trimester was performed. The follow-up was followed up, the origin and distribution were analyzed, and the prognosis and prognosis were analyzed. Results In the first trimester of pregnancy, intraperitoneal ultrasound was used to detect intra-abdominal cystic masses and 16 fetuses were successfully followed up. The length of cysts was 7-57 mm (average 22 mm). Nine of them had an increased bladder measurement, one was an urachal cyst and one was Congenital choledochal cyst, 4 cases of intraperitoneal cyst in pregnancy review disappeared, 1 case of 15 weeks fetal death, no autopsy, the nature of the abdominal mass is unknown. 8 routine fetal chromosome karyotype examination, including 18 cases of trisomy syndrome in 1 case, 13 cases of trisomy syndrome in 1 case, the rest of the normal. Conclusion The cystic masses of the first trimester were originated from urinary bladder abnormalities. Most of the cysts were in poor prognosis, and most of the other sources had better prognosis.