梅干腹综合征一例并文献复习

doi:10.12280/gjszjk.20230269

摘要/Abstract

摘要：

报告1例在妊娠13周行超声检查发现梅干腹综合征（prune belly syndrome，PBS）的病例，该孕妇系第一次妊娠，家族中无相关遗传病史，妊娠12周以前的检查未见明显异常。妊娠12周超声检查发现胎儿膀胱增大，局部凸出于腹壁，2周后因为胎心搏动消失而引产。目前PBS的病因及发病机制尚未具体阐明，多考虑是由于严重的膀胱出口梗阻或继发于妊娠6~10周的中胚层发育缺陷所致。分析本病例并回顾复习国内外相关文献，讨论PBS的病因、发病机制、临床表现及治疗等，以期提高临床上对PBS的认识，为其多学科管理和个体化治疗提供参考。

关键词: 梨状腹综合征, 超声检查，产前, 产前诊断, 病例报告

Abstract:

We report a case in which prune belly syndrome (PBS) was detected by ultrasound examination at 13 weeks of gestation. The woman was pregnant for the first time and had no related genetic history in her family. No obvious abnormality was found by examination before 12 weeks of gestation. The fetal bladder was enlarged and protruded in the abdominal wall detected by ultrasound examination at 12 weeks of gestation. After 2 weeks, the fetal heart beat disappeared and the labor was induced. At present, the etiology and pathogenesis of PBS have not been specifically clarified. It is mostly considered that PBS could be caused by severe bladder outlet obstruction or mesoderm developmental defects secondary to 6 to 10 weeks of pregnancy. This case was analyzed and relevant literatures were reviewed in this paper. To discuss the etiology, pathogenesis, clinical manifestations and treatment of PBS will provide us more references for the clinical understanding, multidisciplinary management and individualized treatment of PBS.

Key words: Prune belly syndrome, Ultrasonography, prenatal, Prenatal diagnosis, Case reports

王敏, 许飞雪. 梅干腹综合征一例并文献复习[J]. 国际生殖健康/计划生育杂志, 2024, 43(2): 111-114.

WANG Min, XU Fei-xue. Prune Belly Syndrome: A Case Report and Literature Review[J]. Journal of International Reproductive Health/Family Planning, 2024, 43(2): 111-114.

图/表 1

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