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目的探讨超声诊断235例维吾尔族胎儿孤立性侧脑室增宽的妊娠结局及临床预后。方法回顾性分析我院产前超声诊断235例维吾尔族胎儿孤立性轻度侧脑室增宽的资料,并进行追踪随访.重点观察临床预后。结果 235例胎儿侧脑室增宽10-15mm,其中200例侧脑室增宽10-12mm,35例增宽12-15mm。随访中有7例侧脑室增宽至16-18mm,诊断为脑积水,其中5胎选择引产(其中1胎证实18一三体综合症),2胎出生后10天内死亡。其余28胎活产病例中(男胎16例,女胎12例),1例于出生一月内死亡,27例存活,其中1例发生神经系统发育迟滞,余26例发育正常。其余于妊娠晚期及出生后复查IMV自然消退。结论超声检查是胎儿IMV产前诊断的有效方法,IMV胎儿总体预后较好,但应重视出生后随诊。
Objective To investigate the pregnancy outcome and clinical prognosis of 235 cases of Uygur fetus with isolated lateral ventricles widened by ultrasound. Methods A retrospective analysis of our hospital prenatal ultrasound in 235 cases of Uighur fetus isolated mild lateral ventricular enlargement of the data, and follow-up follow-up. Results 235 cases of fetus lateral ventricle widened 10-15mm, of which 200 cases lateral ventricle widened 10-12mm, 35 cases widened 12-15mm. Seven cases of lateral ventricle were broadened to 16-18 mm in follow-up. Hydrocephalus was diagnosed. Among them, 5 fetuses were induced by induction of labor (among them, one fetus confirmed 18-trisomy syndrome) and 2 died within 10 days after birth. Among the remaining 28 cases of live births (16 male fetuses and 12 female fetuses), 1 died within one month of birth and 27 survived, of which 1 developed nervous system retardation and the remaining 26 developed normally. The rest in the third trimester of pregnancy and postnatal review of natural regression IMV. Conclusion Ultrasound examination is an effective method of prenatal diagnosis of fetal IMV. The overall prognosis of IMV fetuses is good, but attention should be paid to follow-up after birth.