胎儿上腺出血的成像和结果:一个系统的审查
Amelie Pham1, Sonia Biswas2, Ariel Levy3
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Prenatal diagnosis
|October 3, 2023
概括
胎儿上腺出血 (FAH) 呈现出各种超声波发现,通常自发地解决. 手术干预很少需要,病理学很少证实神经母细胞瘤.
科学领域:
- 放射学 放射学是一门学科.
- 儿科手术 儿科手术
- 新生儿科学 新生儿科学
背景情况:
- 胎儿上腺出血 (FAH) 的诊断和管理需要清楚地了解成像特征和围产期结果.
- 产前成像发现的FAH是异质的,这带来了诊断挑战.
研究的目的:
- 描述FAH的产前和产后成像发现.
- 评估相关的围产期结局和产后手术干预的频率.
主要方法:
- 七个电子数据库的系统文献综述 (启动时间:2022年1月).
- 包括报告产前确定的胎儿上腺质量与确定的FAH诊断的研究.
- 分析了35项研究,包括102例FAH病例.
主要成果:
- 针对FAH的超声检测结果包括囊性 (31%),无声 (28%),混合声原体 (16%) 的外观.
- 产后结果:9%的产前问题得到解决,35%的产后问题得到解决,34%的情况回归,22%的情况持续.
- 25%的病例接受了手术,主要是由于疑似神经母细胞瘤;只有一个确诊的显微神经母细胞瘤.
结论:
- 产前诊断FAH是具有挑战性的,因为不同的超声波外观.
- 病理学发现通常不支持FAH的手术干预.
- 持续的产后FAH需要基于临床表现的个性化管理决策.
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