Diagnosis and clinical prognosis of fetal bowel dilatation
GUO Yan-jie, GUO Yi, GUAN Huai, et al
GUO Yan-jie 1, GUO Y i2, GUAN Huai 3, SHANG Li-xin 4 (1.Department of Microecology, Dalian Medical University, Dalian, 116044, China; 2. Department of Obstetrics, Dalian Obstetrics and Gynecology Hospital, Dalian 116033, China; 3. Department of Obstetrics and Gynecology, No. 210 Hospital of PLA, Dalian, 116021, China; 4. Department of Obstetrics and Gynecology, General Hospital of Beijing Military Command, Beijing, 100700, China)
Abstract: Objective To explore the correlation between fetal bowel dilatation and clinical prognosis for providing the basis for prenatal diagrbsis,treatment,and consultation. Method 127 cases of fetal bowel dilatation diagnosed prenatally in Dalian Obstetrics and liynecology Hospital from Jan 1,2010 to Sep 30,2015 were analyzed retrospectively and followed up. Results Among the 127 cases, the prognosis of 49 patients was good, and 78 neonates were diagnosed with abnormalities. Small intestinal malformation ratio was 64.1% (50/78). Colonic atresia and stenosis ratio was 11.5% (9/78). Duodenal atresia and stenosis ratio was 11.5%(9/78). Rectal anal atresia ratio was 10.3%(8/78), and congenital megacolon ratio was 5.1%(4/78). In addition, the digestive system malformation could exist alone or coexisted with other malformation, including 6 cases of congenital heart disease, 2 cases of gastroschisis, 2 cases of hypospadias, 2 cases of cleft lip and palate, 1 case of polycystic kidney, and 1 case of pyelectasia, 1 case of single umbilical artery. Chromosome abnormality was found in 3 patients. Conclusions Fetal bowel dilatation is closely related to the digestive tract malformation. It should be given the right management and guidance
2016, Vol. 4 
