胎儿侧脑室增宽程度对胎儿预后的影响

Influence on fetus prognosis of the degree of lateral ventricles widened

目的 探讨超声诊断胎儿侧脑室增宽程度与预后的相关性。方法 选取2011年1月~2015年5月我院收治的150例侧脑室增宽胎儿及对应孕妇,均为单胎妊娠,孕龄23~25周时行首次测量胎儿侧脑室宽度,胎儿侧脑室增宽程度在10~15 mm之间,根据侧脑室增宽程度分为轻度组116例和中度组34例,轻度组胎儿增宽程度在10~12 mm之间,中度组胎儿增宽程度在12.1~15 mm之间,增宽程度超出该范围的胎儿未纳入本次研究范围,对两组胎儿初诊到分娩过程中的侧脑室变化程度进行观察,并对比分娩结局。结果 至正产分娩或引产为止,轻度组胎儿侧脑室改善情况较中度组明显,差异有统计学意义（P〈0.05）;轻度组胎儿正常分娩率及新生儿健康率为94.8%和90.5%,显著高于中度组的88.2%和73.5%,差异有统计学意义（P〈0.05）;轻度组新生儿畸形异常率为3.4%,显著低于中度组的20.6%,差异有统计学意义（P〈0.05）。结论 超声诊断观察胎儿侧脑室增宽程度,能够详细观察胎儿侧脑室增宽的改善情况,一定程度上评估胎儿的预后及妊娠结局,为临床提供依据,值得在临床上推广和应用。

Objective To explore the correlation between the degree of enhancement of the lateral ventricles and the prognosis of the fetus by uhrasonography.Methods 150 cases of lateral ventricle increased width of fetus and corre- sponding pregnant women were chosen from January 2011 to May 2015 between our hospital,and were singleton preg- nancy,gestational age 23-25 weeks after first measurement of fetal lateral ventricle width and fetal lateral ventricle in- creased wide degree between the 10-15 mm,ll6 cases of mild group and 34 cases of moderate group according to the lateral ventricle broadening degree and mild group,fetal growth degree of wide in 10-12 mm and moderate group fetal increasing wide degree between the 12.1-15 ram,the scope of the fetus width were not included in the scope of this study,two groups of fetuses diagnosed to delivery process in the lateral ventricle variable degree were observed and birth outcomes were compared.Results To puerperal delivery or-abortion,group of mild fetal lateral ventricle had im- proved obvious than that in the moderate group,and the difference was statistically significant （P〈0.05）;fetal normal delivery rate and neonatal health rate of mild group was 94.8% and 90.5%,which was significantly higher than that of the moderate group with 88.2% and 73.5%,the difference was statistical significance （P〈0.05）;mild group neonatal abnormal rate was 3.4%,which was significantly lower than that of 20.6% of the moderate group,the difference was statistically significant （P〈0.05）.Conclusion Observation of ultrasound diagnosis of fetal lateral ventricle widened can detailly observate the fetal lateral ventricle increased wide improvement,evaluate the prognosis of the fetus and pregnancy outcome with a certain extent,and to provide a basis for clinic,it is worthy of promotion and application in clinic.