Using Color Doppler Sonography to Identify the Perivesical Umbilical Arteries
Using Color Doppler Sonography to Identify the Perivesical Umbilical Arteries
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使用彩色多普勒超声检查识别膀胱周围脐动脉
DOI：
10.7863/jum.2004.23.9.1211
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发表时间：
2004
影响因子：
2.3
通讯作者：
C. T. Hsieh
中科院分区：
文献类型：
--
作者：
Joung;K. Fang;G. Yeh;P. Chou;C. T. Hsieh
客观的。描述 3 例脐膨出-外翻-闭锁肛门-脊柱缺陷 (OEIS) 复合体或泄殖腔外翻的不同产前超声检查结果。方法。对三名 OEIS 综合征患者进行了超声检查。 3例中的2例（病例2和病例3）对脐带插入区域和腹部肿块应用彩色多普勒超声检查以确定腹部肿块的来源。结果。本系列包括三个具有不同超声表现的 OEIS 综合征病例。病例1显示膀胱缺失，腹部无包块，但肠管漂浮在羊膜腔内；病例2在妊娠中期发现膀胱缺失并伴有下前腹部肿块；病例3发现位于前腹壁的大囊肿样肿块。彩色多普勒检查显示病例2和病例3腹部肿块起源于膀胱；病例3发现腹部肿块起源于膀胱。因此，在这些病例中，推测 OEIS 综合征是在产前诊断出来的。在所有病例中，OEIS 综合征均在产后得到证实。结论。对于无膀胱并伴有前腹壁肿块或缺损的患者，应考虑脐膨出-外翻-闭锁肛门-脊柱缺损综合征。应特别注意寻找其他组合异常。我们认为，彩色多普勒超声检查用于识别膀胱周围脐动脉是建立 OEIS 复合体诊断的非常有用的方法。
Objective. To describe the different prenatal sonographic findings in 3 cases of omphalocele‐exstrophy‐imperforate anus‐spinal defects (OEIS) complex, or cloacal exstrophy. Methods. Three patients with OEIS complex were examined by sonography. In 2 (cases 2 and 3) of the 3 cases, color Doppler sonography was applied to the area of cord insertion and the abdominal mass to determine the origin of the abdominal mass. Results. Three cases of OEIS complex with different sonographic appearances are included in this series. An absent bladder without an abdominal mass but with bowel floating in the amniotic cavity was revealed in case 1; an absent bladder with a lower anterior abdominal mass was found in the second trimester in case 2; and a large cystlike mass located in the anterior abdominal wall was found in case 3. Color Doppler imaging showed that the abdominal mass originated from the urinary bladder in cases 2 and 3; therefore, OEIS complex was presumptively diagnosed antenatally in these cases. In all cases, OEIS complex was confirmed postnatally. Conclusions. Omphalocele‐exstrophy‐imperforate anus‐spinal defects complex should be considered in patients with an absent bladder combined with either an anterior abdominal wall mass or defects. Special attention should be given to search for other combined anomalies. We suggest that color Doppler sonography for identifying the perivesical umbilical arteries is a very useful method in establishing of the diagnosis of OEIS complex.