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目的研究胎儿脐尿管囊肿病症在四维彩超声像图中的具体表现,总结病症的规律,提高诊断的准确率。方法回顾性分析7例胎儿脐尿管囊肿的病历资料。结果 7例胎儿腹部有液囊性肿块,该液囊性肿块没有与膀胱相通,有脐动脉均匀环绕在肿块表面,明显向外突起,并且肿块内部没有显示血液流动。新生儿产后手术证实该肿块为脐尿管囊肿。结论如果四维彩超显示妊娠18~32周的胎儿的腹部有液囊性肿块,该液囊性肿块没有与膀胱相通,有脐动脉均匀环绕在肿块表面,明显向外突起,并且肿块内部没有显示血液流动,即可考虑该胎儿患有脐尿管囊肿。
Objective To study the specific manifestations of fetal urachal cyst in four-dimensional color ultrasonography, summarize the regularity of the symptoms and improve the diagnostic accuracy. Methods Retrospective analysis of 7 cases of fetal urachal cyst medical records. Results 7 cases of fetal abdomen cystic mass, the cystic mass did not communicate with the bladder, umbilical artery evenly around the surface of the mass, significantly protruding outward, and the mass did not show the internal blood flow. Neonatal postnatal surgery confirmed the mass as an urachus cyst. Conclusion If four-dimensional color Doppler ultrasound showed that cystic masses were found on the abdomen of pregnant fetuses between 18 and 32 weeks of gestation, the cystic cysts did not communicate with the bladder. Umbilical arteries were uniformly surrounded on the surface of the lumps and protruded outwards obviously. No blood was shown inside the lumps Flow, you can consider the fetus with urachal cyst.