巨大儿小脑延髓池增宽的妊娠结局

Pregnancy Outcome of Macrosomia with Widened Cisterna Magna

目的探讨小脑延髓池增宽(>10 mm)的巨大儿的妊娠结局。方法回顾性分析北京市通州区妇幼保健院5年间120例出生体质量≥4000 g胎儿的产前小脑延髓池测量值,比较小脑延髓池增宽与小脑延髓池正常的巨大儿的妊娠结局,并分析原因。结果异常组10例中小脑延髓池增宽者1例合并羊水多,1例合并小脑蚓部缺失,8例新生儿未见异常;正常组1例合并糖尿病,11例新生儿父母身材高大,胎儿体质量增加,98例因摄入蛋白质过多均未见异常。结论巨大儿小脑延髓池增宽不合并其他系统畸形,妊娠结局良好。

Objective To investigate the pregnancy outcomes of macrosomia with widened cisterna magna（10 mm）.Methods A retrospective analysison fetal cisterna magna measured values of 120 cases of prenatal birth weight ≥ 4000 g was done;the pregnancy outcomes fetus of widened cisterna magna and normal cisterna magna were compared and the reasons were analyzed.Results 10 cases of widened cisterna magna：1 was combined with excessive amniotic fluid,1 was combined with cerebellar vermis missing,the remaining 8 cases of newborns were normal;in the control group：1 was combined with diabetes,11 cases of overweight neonatal due to the higher-than-average parents,and 98 cases saw no abnormaility due to excessive intake of protein.Conclusion Macrosomia with widened cisterna magna does not combine with other system abnormalities,and has good pregnancy outcome.