Analysis of the clinical diagnosis and treatment of fetal meconium peritonitis

Figures & data

Figure 1. Intraperitoneal calcification in a prenatal ultrasound scan. AS: ascites; STO: stomach. The bold arrows indicate calcification on the surface of the liver and intestines.

Figure 2. Intestinal dilatation in a prenatal ultrasound scan. RK: right kidney; LK: left kidney; Thick arrows represent calcified, thickened, and dilated intestinal tube walls.

Table 1. Comparison of general data of neonates between the operation group and conservative treatment group (X ± SD).

Group	Surgical treatment (operation) group	Conservative treatment group	F(t/)	p
n	22	18	–	–
Age of the mothers (Years old)	27.36 ± 4.55	30.17 ± 5.24	1.811	.078
Gestational week at the discovery of abnormality by first prenatal ultrasonography (weeks)	27 ± 5	26 ± 3	−1.215	.232
Gestational age (weeks)	37.29 ± 1.81	36.52 ± 2.81	−1.047	.302
Birth weight (g)	3180.00 ± 521.93	2828.33 ± 677.12	−1.855	.071
Cesarean delivery(n)	13	9	0.331	.565
the three degree of meconium-stained amniotic fluid (n)	5	2	–	.297
Neonatal survival (n)	20	15	–	.642

F: t test/chi-square test or Fisher’s exact probability test.

Table 2. Results of prenatal ultrasonography in the operation group and conservative treatment group.

Abnormal ultrasonic characteristics		Surgical treatment (operation) group (n)	Conservative treatment group (n)	OR(95%CI)	p
Intra-abdominal calcification		11	16	4.894(1.691–14.166)	.021
Local echo enhancement of intestinal tract		9	12	–	NS
Intestinal dilatation		17	3	3.167(1.034–9.699)	.000
Peritoneal effusion		8	13	0.531(0.283–0.999))	.041
Pseudocyst		5	1	–	NS
Hydramnios		13	6	–	NS
Ultrasound performance classification	0	3	8	–	.040
	1	10	6	–	.364
	2	5	2	–	.419
	3	4	3	–	1.000

Table 3. Surgical method in the operation group.

Surgical method	Surgical treatment (operation) group (n)
Repair of iintestinal atresia	13
Resection and anastomosis	5
Enterostomy	3
Volvulus reduction	6
Enterostomy	3
Enterodialysis	21
One-stage operation	2
Second operation	7

Table 4. The maternal complications in different groups.

Maternal complications	Surgical treatment (operation) group (n)	Conservative treatment group (n)
Anemia	8	1
CMV infection	0	1
Scarred uterus	7	4
Fetal distress	1	1
Gestational hypertension	1	0
Placenta previa	0	1
Premature delivery	8	10
AHP	1	5
ICP	3	1

Data availability statement

The datasets used and/or analyzed during the current study available from the corresponding author on reasonable request.