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产前超声对第一二鳃弓综合征的诊断价值 被引量:1

Prenatal Ultrasound in the Diagnosis of Hemifacial Microsomia
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摘要 目的探讨产前超声在诊断胎儿第一二鳃弓综合征中的临床应用。资料与方法回顾性选取2017年1月—2020年12月首都医科大学附属北京妇产医院10例产前超声诊断和出生后诊断为第一二鳃弓综合征胎儿,回顾性分析其产前超声检查中,口唇、下颌及双耳等部位的结构异常,与引产后或足月出生后的结果相比较,并总结其超声特点。结果典型的第一二鳃弓综合征以面横裂、小下颌、耳部结构异常为特征,其中以面横裂最常见,其次为耳部结构异常。本组所有胎儿均经引产后大体标本或出生后证实,10例确诊为第一二鳃弓综合征,其中9例产前发现异常,1例出生后发现口角裂和同侧耳屏前肉赘组织。8例产前超声显示面横裂,其中4例单侧面横裂均合并耳部结构异常,3例双侧面横裂且其中1例合并小下颌和眼异常,1例为口角裂合并同侧耳屏前肉赘组织。产前发现异常的9例病例中,1例足月出生,8例引产,结果均与超声结果相符合。结论产前超声对口唇、耳部及下颌的观察,以及三维超声在颜面部的应用,为第一二鳃弓综合征的诊断提供了重要依据,并对指导孕妇做出正确决策有重要意义。 Purpose To explore the clinical application of prenatal ultrasound in the diagnosis of first and second branchial arch syndrome.Materials and Methods From January 2017 to December 2020,in Beijing Obstetrics and Gynecology Hospital,Capital Medical University,10 cases of fetuses diagnosed as first and second branchial arch syndrome by ultrasound and after birth.A retrospective analysis of the prenatal ultrasound examination,the ultrasound abnormalities in the lips,jaw and both ears,were compared with the results after induction of labor or full-term birth.And summarized ultrasonic characteristics.Results The typical first and second branchial arch syndrome were characterized by macrostomia,small mandible and ear abnormalities.Among them,macrostomia was the most common,followed by ear abnormalities.In this group of cases,all fetuses were confirmed by gross specimens after induction of labor or after birth,10 cases were diagnosed as first and second branchial arch syndrome,of which 9 cases were found to be abnormal before delivery,and 1 case was found to have orofacial clefts and preauricular skin tags after birth.Eight cases showed macrostomia on prenatal ultrasound,4 cases of unilateral macrostomia were combined with ear abnormalities,3 cases of bilateral macrostomia and 1 case with minor mandibular and ocular abnormalities,and 1 case with orofacial clefts combined with preauricular skin tags.Among the 9 cases of abnormalities found before delivery,1 was born at full term and 8 cases were induced to labor.The results were consistent with ultrasound results.Conclusion The observation of lips,ears and mandibles by prenatal ultrasound,and the application of three-dimensional ultrasound in the face,provide an important basis for the diagnosis of first and second branchial arch syndrome,and are of great significance for guiding gravida to make correct decisions.
作者 黄瑞贞 孙丽娟 王莉 张铁娟 吴青青 迟文静 HUANG Ruizhen;SUN Lijuan;WANG Li;ZHANG Tiejuan;WU Qingqing;CHI Wenjing(Department of Ultrasound,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100020,China;Department of Ultrasound,Beijing Maternal and Child Health Care Hospital,Beijing 100020,China;不详)
出处 《中国医学影像学杂志》 CSCD 北大核心 2022年第10期1041-1044,共4页 Chinese Journal of Medical Imaging
关键词 胎儿 超声检查 产前 第一二鳃弓综合征 Fetus Ultrasonography,prenatal Hemifacial microsomia
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