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《产前超声检查胎儿侧脑室增宽的临床意义 418-420》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、临床小儿外科杂志2013年10月第12卷第5期JournalofClinicalPediatricSurgery,October2013,Vol.12,No.5·418··外科与影像·产前超声检查胎儿侧脑室增宽的临床意义123孟小军胡罛肖鸽飞【摘要】目的探讨产前超声检测胎儿侧脑室增宽的临床意义。方法对孕20~41周的孕妇进行胎儿系统筛查,选择侧脑室>10mm的胎儿,每3~4周进行1次超声检查,观察侧脑室的动态变化及其他异常情况,进行染色体及病毒学检查,直至足月分娩,并随访至1岁。结果共检出133例侧脑室增宽的胎儿,其中轻度增
2、宽的胎儿(10mm<侧脑室≤12mm)79例;77例自行消退,预后良好;2例因染色体异常引产。中度增宽的胎儿(12mm<侧脑室≤15mm)43例;25例自行消退,预后良好;4例宫内缺氧或发育迟缓,3例预后良好;12例因染色体异常或巨细胞病毒感染或合并其他畸形引产;2例侧脑室进行性增宽,最终因>15mm引产。重度增宽的胎儿(15mm<侧脑室)11例;9例合并其他畸形胎儿引产;2例孕至足月,其中1例出生后出现脑瘫,1例出生后智力和生长发育明显低于同龄儿。结论对侧脑室轻中度增宽的胎儿进行动态观察,并进一步进行染色体和病毒学检查,不
3、合并其他畸形的胎儿妊娠结局良好,重度侧脑室增宽及合并其他畸形的胎儿,其妊娠结局不良。【关键词】超声检查;产前;侧脑室;胎儿Clinicalsignificanceoffetallateralventriculomegalywithprenatalultrasonography.MENGXiaojun,HUChong,XIAOGefei.MaternalandChildHealthHospitalofzhuhai,Guangdong,Zhuhai,519000,China.1,DepartmentofUltrasound
4、;2,DepartmentofHealth;3,ZhuhaiInstituteofMedicalGenetics.Email:mengxiaojun@163.com.【Abstract】ObjetiveTostudytheclinicalsignificanceoffetallateralventriculomegalywithprenatalultrasonography.MethodsPrenatalultrasonographywasperformedonwomenat20-41weeks’gestation.Th
5、efetalwithlateralventricularwidth>10mmwereincludedinthisstudy.Thechangesoffetallateralventricularwidthandtheassociatedanomalieswereobservedregularlyevery3~4weeksandChromosomeandVirologywerecheckeduntilfetalbirth.Theliveinfantswerefollowedupregularlyuntil1years.Resu
6、lts133fetalwithlateralventriculomegalyweredetected.Mildbroadeningoffetus(10mm<lateralventricles≤12mm)is79cases;77casesofspontaneousregression,theprognosisisgood;2casesofchromosomeanomalyinducedlabor.Moderatebroadeningoffetus(12mm<lateralventricles≤15mm)is43cases;2
7、5casesofspontaneousregression,theprognosisisgood;Among4casesofintrauterinehypoxiaorgrowthretardation,3casesoftheprognosisisgood;12caseswithchromosomalabnormalityorcytomegalovirusinfectionorassociatedwithothermalformationsinducedlabor.2casesoflateralventriclewere
8、widened,thefinalbecauseof>15mminducedlabor.Severebroadeningofthefetus(mm15<lateralventricles)is11cases;9casesassociatedwithothermalformationsin
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