ANTENATAL DIAGNOSIS OF ABDOMINAL-WALL DEFECTS - A MISSED OPPORTUNITY

被引:11
作者
ROBERTS, JP [1 ]
BURGE, DM [1 ]
机构
[1] SOUTHAMPTON GEN HOSP, WESSEX REG CTR PAEDIAT SURG, SOUTHAMPTON SO9 4XY, HANTS, ENGLAND
来源
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION | 1990年 / 65卷 / 07期
关键词
D O I
10.1136/adc.65.7_Spec_No.687
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A review of six years' experience with antenatal diagnosis of abdominal wail defects by ultrasound showed its impact to be limited by poor detection rates. Twenty infants with exomphalos and 20 with gastroschisis were recorded but only 25 (63%) were diagnosed antenatally. The ultrasound false negative rate was higher for exomphalos (35%) than for gastroschisis (22%). No difference was detected in the incidence of associated abnormalities, premature gestation, primary closure rate, or mortality between the antenatally and postnataliy diagnosed groups for either exomphalos or gastroschisis. Antenatal diagnosis of gastroschisis has little effect on management but allows parental counselling and in utero transfer. The frequency of concomitant abnormalities in exomphalos profoundly affects prognosis and the detection of these is the major role of antenatal diagnosis in this condition. Failure to detect abdominal wail defects by ultrasound may be a reflection of technique or equipment, but some gastroschises may be of perinatal onset and not detectable antenataily.
引用
收藏
页码:687 / 689
页数:3
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