论文部分内容阅读
患儿女,14天。经剖宫产后发现双胎联体畸形,大便自解,共同有一肛门开口于背部正中。了解盆底情况,联体畸形,了解直肠、肛管情况(A毛毛、B毛毛),盆底肌肉情况。MRI检查:婴儿连体畸形。两婴儿以盆底相连,分别有一个肾脏,共用一个膀胱,结肠相通。盆底左侧紧邻膀胱侧壁扩张肠管,远端呈锥形终止下盆底中线偏右侧,对应于钡剂灌肠初始显示的肠管,考虑为共用的直肠可能。两婴儿肝脏、脾脏、心脏位置信号未见明显异常,脾脏形态饱满。讨论一次妊娠同时形成2个或2个以上胎儿称多胎妊娠,胎儿数目可为2~8个,以双胎最为常见,且与种族、遗传及地区等因素有关。双胎妊娠随受精卵的不同组合分为
Children with children, 14 days. After cesarean section found twins conjoined deformity, stool self-solution, with an anal opening in the middle of the back. Understand the pelvic floor, conjoined deformity, to understand the rectum, anal canal conditions (A plush, B plush), pelvic floor muscle conditions. MRI examination: baby Siamese deformity. The two babies connected to the pelvic floor, respectively, a kidney, share a bladder, colon connected. The left side of the pelvic floor adjacent to the expansion of the bladder wall bowel, the distal cone was terminated under the midline of the pelvic floor to the right, corresponding to the initial display of barium enema intestinal, consider the possibility of sharing the rectum. Two baby liver, spleen, heart location signal no obvious abnormalities, spleen full form. Discuss a pregnancy at the same time the formation of two or more than two fetuses said multiple pregnancy, the number of fetuses for 2 to 8, the most common twins, and race, genetic and regional factors. Twin pregnancies with different combinations of fertilized eggs is divided into