https://scholars.lib.ntu.edu.tw/handle/123456789/458832
Title: | Correlation of prenatal ultrasound and postnatal outcome in meconium peritonitis | Authors: | MING-KWANG SHYU JIN-CHUNG SHIH CHIEN-NAN LEE HSIAO-LIN HWA SONG-NAN CHOW FON-JOU HSIEH |
Issue Date: | 2003 | Journal Volume: | 18 | Journal Issue: | 4 | Start page/Pages: | 255-261 | Source: | Fetal Diagnosis and Therapy | Abstract: | Objectives: To study the relationship between prenatal ultrasound features and postnatal course of meconium peritonitis. Methods: Meconium peritonitis was diagnosed by prenatal ultrasound. Fetuses were treated by intrauterine paracentesis of ascites when indicated, and symptomatic newborns received surgery. Results: Totally 17 cases were enrolled. Prenatal ultrasound findings include abdominal calcification (16/17), fetal ascites (12/17), hydramnios (9/17), pseudocyst (7/17) and dilated bowel loop (6/17). Persistent ascites, pseudocyst or dilated bowel loop are most sensitive (92%) to predict postnatal surgery (p = 0.022). The survivors have a higher gestational age at birth (36.4 vs. 33.3 weeks, p = 0.008). Persistent ascites and postnatal persistent pulmonary hypertension of the newborns significantly correlate with neonatal mortality (p = 0.029 and 0.022). Conclusion: Prenatal ultrasound can predict the neonatal outcome in meconium peritonitis. Copyright ? 2003 S. Karger AG, Basel. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/458832 | ISSN: | 1015-3837 | DOI: | 10.1159/000070806 | SDG/Keyword: | adult; article; ascites; calcification; clinical article; controlled study; correlation analysis; female; fetus; fetus echography; fetus surgery; gestational age; human; hydramnios; male; meconium peritonitis; newborn mortality; newborn surgery; outcomes research; paracentesis; pathophysiology; perinatal period; prediction; prenatal diagnosis; priority journal; pseudocyst; pulmonary hypertension; treatment outcome; Adult; Female; Fetal Diseases; Humans; Intestinal Diseases; Male; Meconium; Peritonitis; Pregnancy; Pregnancy Outcome; Prospective Studies; Ultrasonography, Prenatal |
Appears in Collections: | 醫學系 |
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