Impact of gestational age on prenatal ultrasonic diagnosis of fetal ascites and fetus' outcome
10.13929/j.issn.1003-3289.2020.06.018
- VernacularTitle: 孕周对产前超声诊断胎儿腹腔积液及胎儿结局的影响
- Author:
Yanfang LIU
1
Author Information
1. Department of Ultrasonography, Guangdong Women and Children Hospital
- Publication Type:Journal Article
- Keywords:
Ascites;
Fetus;
Ultrasonography, prenatal
- From:
Chinese Journal of Medical Imaging Technology
2020;36(6):883-886
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the impact of gestational age on prenatal ultrasonic diagnosis of fetal ascites and fetus' outcome. Methods: Totally 58 pregnant women (58 fetuses) with fetal peritoneal effusion diagnosed with ultrasound were divided into 2 groups according to the gestational weeks of the first discovery of fetal peritoneal effusion, group (<24 weeks) 20 cases and group Ⅱ (≥24 weeks) 38 cases. Prenatal diagnosis and fetal outcomes were compared between the two groups. Results: Among 58 fetuses, 54 (54/58, 93.10%) had definite prenatal diagnosis, and 4 had idiopathic peritoneal effusion (simple ascites without other abnormalities). Prenatal diagnosis mainly included digestive system diseases and fetal edema in group , mainly digestive system diseases, fetal edema, urogenital system abnormalities and circulatory system abnormalities in group Ⅱ (all P>0.05). Pregnancy was terminated in 12 cases (12/20, 60.00%) in group and 10 cases (10/38, 26.32%) in group Ⅱ. Seven cases (7/20, 35.00%)in group and 20 cases (20/38, 52.63%) in group Ⅱ had good fetal outcome, but 5 newborns (5/38, 13.16%) died within 7 days after birth in group Ⅱ. The rate of termination in group was higher than that in group Ⅱ (χ2=6.32, P=0.01). Conclusion: Gestational age has impact on prenatal diagnosis and outcome of fetus with ascites.
