胎儿中隔离的狭窄腔隔膜:正常发育的变化
Yihong Yang1, Shan Zhu1, Xin Yang1
1Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
概括
患有窄腔隔膜 (CSP) 的胎儿通常具有正常的体和良好的神经发育结果. 这一发现表明,孤立的狭窄CSP通常是一种正常变异.
科学领域:
- 产前诊断
- 胎儿成像
- 神经发育儿科
背景情况:
- 阴道隔膜 (CSP) 是胎儿大脑中的中线结构.
- 在产前超声检查中可以识别狭窄的CSP,定义为小于3毫米.
- 对于准确的产前咨询来说, 了解孤立的狭窄CSP的含义至关重要.
研究的目的:
- 评估被诊断患有单独狭窄神经瘤的胎儿的神经发育结果.
- 评估孤立的狭窄骨髓和体发育之间的关联.
- 要确定孤立的狭窄CSP是否代表正常变化.
主要方法:
- 通过超声波检测发现的胎儿CSP异常的回顾.
- 包括标准:在第二或第三个三个月检测到的孤立狭窄的CSP.
- 与MRI发现,产前检测结果和产后神经发育评估的相关性.
主要成果:
- 鉴定出79名患有单独狭窄骨髓瘤的胎儿.
- 在94. 4%的病例中,MRI显示体正常;在5. 6%的病例中,部分衰老.
- 所有可用的神经发育结果 (n=24) 在平均年龄为31. 6个月是正常的.
结论:
- 在胎儿中,隔离的狭窄骨髓通常与正常的骨有关.
- 对于患有单独狭窄CSP的胎儿,神经发育预后通常是有利的.
- 孤立的狭窄CSP可以被认为是正常胎儿发育的变体.
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