胎儿胆囊内回声改变的超声表现和产后结局

Ultrasonic Manifestations of Echo Changes in the Fetal Gallbladder and Postpartum Outcomes

摘要: 目的：希望通过对部分病例的随访和记录，了解胎儿胆囊高回声的临床结局。我们希望为产前咨询提供帮助。方法：观察胎儿胆囊产前、产后超声检查结果，并对孕妇实验室检查结果进行分析。结果：胎儿胆囊高回声极有可能出生时自行溶解或在后续随访中消失。我们认为男孩的患病率可能更高，并且与母亲胆汁酸水平升高有关。结论：胆囊高回声多在产后2周内溶解消失，预后良好。这方面我们不需要过多干预，定期随访即可。

Abstract: Objective: We hope that through the follow-up and recording of some cases, we can understand the clinical outcome of hyperechoic masses in the fetal gallbladder. We hope to provide help for prenatal counseling. Methods: We observed the results of prenatal and postpartum ultrasound examination of the gallbladder of the fetus and analyzed the laboratory results of pregnant women. Results: The hyperechoic mass of the fetal gallbladder with gallstones is extremely likely to dissolve spontaneously or disappear on subsequent follow-up. We hypothesize that there may be a higher prevalence among boys and that it is associated with elevated bile acid levels. Conclusion: Gallstones usually dissolve and disappear within 2 weeks after delivery, indicating a good prognosis. We don’t need to intervene too much in this regard, just regular follow-up visits.