胎儿常见消化道畸形的超墒蛆诊断、预后及处理刘智复旦.ppt

胎儿常见消化道畸形的超声诊断、预后及处理;先天性消化道畸形;先天性食道闭锁;先天性食道闭锁的类型;产前超声发现：孕34周，羊水过少，胃泡未见但超声无法区别食道闭锁类型处理：出生后食道修补术;先天性食道闭锁X光片;手术方法;先天性肠闭锁;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;产前B超：上腹部双泡征，胎儿胃泡及十二指肠近端扩张;术前上消化道GI;手术发现：十二指肠隔膜闭锁;先天性空、回肠闭锁;先天性肠闭锁;先天性肠闭锁;肠闭锁的诊断;先天性肠闭锁处理;先天性巨结肠及先天性无肛;Hischsprung’s disease; 先天性巨结肠：X光平片;先天性巨结肠：钡剂灌肠;先天性无肛分型：女;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;先天性无肛分型：男;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.; the ultrasound appearance is similar to that of anorectal atresia, when the affected segment is colon or rectom，polyhydramnios and dilatation of the loops are present in the case of small bowel involvement, on this occasion, it is not different from other types of obstruction 超声图像类似肛门直肠闭锁 羊水过多 累及小肠时见扩张肠袢，与其它类型肠闭锁类似;Intestinal obstruction;Meconium peritonitis胎粪性腹膜炎;注意：;脐膨出;脐膨出：大型可见外露的肝脏、鼻骨缺失;脐膨出：大型可见外露的肝脏;术后外观;先天性膈疝;先天性膈疝;临床表现;病侧呼吸运动减弱，呼吸音低或消失，可听到肠鸣音，心尖搏动向对侧移位，舟状腹;产前B超;先天性膈疝;Prenatal diagnosis;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Selection of patients for fetal interventionUSG;肺面积/头围=1.0;超声对膈疝预后的评估;Selection of patients for fetal interventionMRI;先天性膈疝出生后治疗;术前X光片;膈肌修补术;手术修补膈肌;ECMO在先天性膈疝的应用;Indications for ECMO;血管插管： 颈动静脉;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;胎儿外科治疗膈疝的进展;Fetoscopic tracheal occlusion;Fetal endoscopic tracheal occlusion;先天性膈疝;膈疝的鉴别诊断;先天性膈膨升;先天性腹裂;产前B超：腹裂，肠管脱出;腹裂，肝脏脱出;腹裂的处理新进展-------免缝法回纳肠管;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Asp