胎粪性腹膜炎的超声表现及其临床应用价值

摘要

Objective To investigate the characteristic ultrasonic findings of meconium peritonitis and explore the clinical application value of ultrasonography in the diagosis of this disease. Methods The clinical data and the ultrasonic performance of 25 cases of meconium peritonitis proved by pathology through operation were analyzed retrospectively and the ultrasonic sonographic findings of meconium peritonitis were summed up. Results Prenatal ultrasound findings of meconium peritonitis included intra - abdominal calcification 20/25 (80% ) , intestinal dilatation 15/25(60% ) , ascites 9/25(36% ) , polyhydramnios 4/25( 16% ) , meconium pseudocyst 2/25(8% ) , and scrotal calcification 1/25(4% ). Newborn ultrasound findings of meconium peritonitis included intestinal dilatation 15/25(60% ) , intra -abdominal calcification 13/25(52% ) , ascites 9/25(36% ) , meconium pseudocyst 2/25(8% ) , and scrotal calcification 1/25(4% ). Newborn cure rate was 23/25(92% ) and no cure rate was 2/25(8% ). Conclusion Ultrasound can clarify the diagnosis of meconium peritonitis, provide certain imaging evidence for early surgical treatment which can improve the newborn survival rate and has important clinical value.%目的 探讨胎粪性腹膜炎的超声征象及其临床应用价值.方法 回顾性分析25例经手术病理证实的胎粪性腹膜炎的临床资料及超声表现,总结胎粪性腹膜炎的超声征象及其在临床中的应用价值.结果 胎粪性腹膜炎产前超声征象包括腹腔内钙化20/25例(80％)、肠管扩张15/25例(60％)、腹腔积液9/25例(36％)、羊水过多4/25例(16％)、胎粪性假性囊肿2/25例(8％)、阴囊钙化1/25例(4％)；新生儿胎粪性腹膜炎超声征象包括肠管扩张15/25例(60％)、腹腔内钙化13/25例(52％)、腹腔积液9/25例(36％)、腹腔假性囊肿2/25例(8％)、阴囊钙化1/25例(4％).新生儿术后治愈率23/25例(92％),未愈率为2/25例(8％).结论超声检查能明确胎粪性腹膜炎的诊断,为及早手术治疗提供一定的影像学依据,提高新生儿的存活率,具有重要临床应用价值.