论文部分内容阅读
目的探讨胎儿原发性先天性淋巴水肿的超声特征及预后。方法回顾性分析10例妊娠晚期超声发现的原发性先天性淋巴水肿患者的临床资料,出生后每3个月随访测量足背皮下组织厚度。结果 10例患者平均发现孕周(34.1±2.3)周,超声检查胎儿平均足背皮下组织厚度(1.0±0.5)cm。出生后患儿进行物理治疗,随访3~16个月,各项生长发育指标在正常范围。7例患儿下肢水肿逐渐减轻,3例下肢水肿加重,进行手术治疗。结论超声检查可于早期发现原发性先天性淋巴水肿胎儿,出生后给予物理治疗,大部分下肢水肿可逐渐减轻。
Objective To investigate the ultrasound features and prognosis of fetal primary congenital lymphedema. Methods The clinical data of 10 patients with primary congenital lymphedema discovered by the third trimester of pregnancy were retrospectively analyzed. The thickness of the dorsum of the dorsum of the dorsal foot was measured every 3 months after birth. Results The average gestational age (34.1 ± 2.3) weeks was found in 10 patients. The average thickness of the dorsal root of the dorsal foot was (1.0 ± 0.5) cm. After birth, children with physical therapy, followed up for 3 to 16 months, the various indicators of growth and development in the normal range. The edema of lower extremities in 7 cases was gradually reduced, and the edema of lower extremities in 3 cases was aggravated. Surgical treatment was performed. Conclusion Ultrasonography can detect the fetus of primary congenital lymphedema at an early stage, give physical therapy after birth, and most of the lower extremities edema can be gradually reduced.