Fetal Gastroschisis: Impact of Delivery Mode and Fetal Bowel Dilatation

生產方式與小腸過度擴張對於胎兒臍腹裂預後之影響

張其真(Chi-Chen Chang) ； 蔡鴻德(Horng-Der Tsai) ； 謝耀元(Yao-Yuan Hsieh) ； 徐泰彥(Tai-Yen Hsu) ； 楊東川(Tung-Chuan Yang) ； 陸俊龍(Jion-Lung Lu) ； 林維卿(Weng-Cheng Lin)

《Mid-Taiwan Journal of Medicine》 5卷2期 (2000/06) Pp. 84-89

https://doi.org/10.6558/MTJM.2000.5(2).3

摘要

Objective. To investigate the influence of the delivery route and bowel dilatation on neonatal outcomes of fetal gastroschisis. Methods. Infants with gastroschisis were divided into two groups according to the delivery route: Group 1: vaginal delivery; Group 2 : cesarean delivery. The clinical data of both groups were compared, including prenatal measurement of bowel dilatation, rate of primary closure, postoperative complications, days of parenteral nutrition, length of hospitalization, and mortality rate. The sensitivity of prenatal small bowel dilation (＞ 10 mm) upon neonatal outcome was evaluated. Results. A total of 21 infants were included (15 cases with vaginal delivery, six cases with cesarean delivery) in this study. There were no significant differences in the clinical data between the two groups. The presence of fetal bowel dilatation had a high correlation with intestinal damage, difficult repair, high neonatal morbidity and mortality rates. Conclusions. The delivery route did not obviously influence neonatal outcome. However, bowel dilatation of fetuses with gastroschisis was related to high neonatal morbidity and mortality rates.

關鍵字

腹壁缺損；小腸過度擴張；腹裂

並列摘要

Objective. To investigate the influence of the delivery route and bowel dilatation on neonatal outcomes of fetal gastroschisis. Methods. Infants with gastroschisis were divided into two groups according to the delivery route: Group 1: vaginal delivery; Group 2 : cesarean delivery. The clinical data of both groups were compared, including prenatal measurement of bowel dilatation, rate of primary closure, postoperative complications, days of parenteral nutrition, length of hospitalization, and mortality rate. The sensitivity of prenatal small bowel dilation (＞ 10 mm) upon neonatal outcome was evaluated. Results. A total of 21 infants were included (15 cases with vaginal delivery, six cases with cesarean delivery) in this study. There were no significant differences in the clinical data between the two groups. The presence of fetal bowel dilatation had a high correlation with intestinal damage, difficult repair, high neonatal morbidity and mortality rates. Conclusions. The delivery route did not obviously influence neonatal outcome. However, bowel dilatation of fetuses with gastroschisis was related to high neonatal morbidity and mortality rates.

並列關鍵字

abdominal wall defects；bowel dilatation；gastroschisis