小児外科領域における出生前診断 : 11症例の経験

概要

論文の詳細を見る
Eleven surgically significant neonatal anomalies have been diagnosed in utero by ultra-sonographic examination at our institution over the past three years. The experience with these cases reported here demonstrates following results: 1) Ultrasonographic diagnosis was specific in 8 cases (i.e. actites, pleural effusion, ompha-locele, pyloric atresia, duodenal atresia, diaphragmatic hernia, hydronephrosis), on the other hand it was not specific in 3 cases (i.e. ovarial cyst, choledochal cyst). 2) Antenatal diagnosis has been useful, since it has been possible: a) to get the rapid neonatal care without delay, b) to determin the appropriate obstetric management, c) to determin the fetal treatment, d) to observe the pathophysiology and natural course of the congenital anomaly. 3) In our limited experience, antenatal diagnosis has not been life-saving in the cases of diaphragmatic hernia and ascites.
日本小児外科学会の論文
1987-05-20