ĐẶC ĐIỂM CHẨN ĐOÁN TIỀN SẢN BẰNG SIÊU ÂM CÁC DỊ TẬT BẨM SINH ỐNG TIÊU HÓA Ở TRẺ SƠ SINH VÀ KẾT QUẢ ĐIỀU TRỊ

Abstract

Objectives: To discribe characteristics of prenatal diagnosis by ultrasound and treatment results in neonates with congenital digestive malformations (CDMs) operated. Material and method: Retrospective case series study, data were collected by medical records. Selection criteria: Neonates diagnosed with CDMs operated at Children’s Hospital N⁰ 1 from 01/2020 to 06/2021. Results: 205 neonates with CDMs were operated. The percentage of pregnant women receiving prenatal examination, counseling and diagnosis was 100% (HCM City) and 95.6% (provinces). The most common prenatal diagnostic tool was ultrasound (97.6%). 42.5% cases were found CDMs by prenatal ultrasound. 45.8% of neonates were not examined immediately after birth. There were 22.9% cases of treatment failure at the local hospitals and then referral. The average age of neonates at admission was 5.19 days old. The average hospital stay was 25.4 days. 48.8% recorded complications. 77.1% of neonates were discharged safely. The mortality rate was 8.3%. There was a statistically significant difference in the rate of examination immediately after birth, time of hospital transfer, the reason for referral, number of days of treatment, multiple birth defects and chromosomal abnormalities, and mortality rate when comparing between the group of children whose mothers were diagnosed with prenatal ultrasound and the remaining group of neonates. Conclusions: Prenatal diagnosis of CDMs by ultrasound contributes to the treatment outcome of neonates with congenital gastrointestinal abnormalities.