早孕期胎儿颜面正中矢状切面各指标的超声研究及临床意义
查看参考文献51篇
文摘
|
胎儿颜面部畸形在出生后即可很直观的被发现,因此在早孕期及时将这些异常诊断出来具有重要临床意义。胎儿颜面轮廓包含巨大的信息量,可将这些丰富的信息转变为简易的几条线或者超声测量指标。早孕期(孕11~13+6周)测量胎儿颈项透明层(nuchal translucency,NT)的标准切面为胎儿面部正中矢状切面,在此切面上除可常规测量NT厚度、观察有无鼻骨(nasal bone, NB)外,尚可在此切面上获得更多信息。如观察颅内透明层(intracranial translucency, IT)有无及测量颅内透明层厚度,测量鼻骨长度(nasal bone length, NBL)、鼻前组织厚度(prenasal thickness, PT),测量上颌间隙(maxillary gap)宽度,计算鼻前组织厚度与鼻骨长度之比(prenasal thickness/nasal bone length, PT/NBL)。测量颜面角度包括:额-上颌角(frontomaxillary facial angle, FMF)、面-上颌角(facial maxillary angle, FMA)、面下部角(inferior facial angle,IFA)、上颌-鼻根-下颌角(maxilla-nasion-mandible angle,MNM)、下颌-上颌线(mandibulo-maxillary line,MML)、额前空间距离(frontal space, FS)、颜面轮廓线(facial profile line, FPL)、额前空间比例(prefrontal space ratio,PFSR)等,这些指标的异常可能会在早孕期提示胎儿异常,包括染色体异常(如21-三体综合征、18-三体综合征等)、开放性脊柱裂、唇腭裂、小下颌或下颌回缩、某些遗传综合征(如Pierre-Robin综合征、Treacher-Collin综合征)等。本文旨在对这些早孕期筛查胎儿颜面部畸形的超声测量方法、测量指标的相关研究及其临床意义综述如下。 |
来源
|
中华医学超声杂志(电子版)
,2020,17(1):79-84 【核心库】
|
DOI
|
10.3877/cma.j.issn.1672-6448.2020.01.015
|
关键词
|
早孕期
;
胎儿颜面正中矢状切面
;
超声
|
地址
|
南京医科大学附属苏州医院苏州市立医院超声中心, 215002
|
语种
|
中文 |
文献类型
|
研究性论文 |
ISSN
|
1672-6448 |
学科
|
医药、卫生 |
文献收藏号
|
CSCD:6703512
|
参考文献 共
51
共3页
|
1.
Michailidis G D. Assessment of fetal anatomy in the first trimester using two- and three-dimensional ultrasound.
Br J Radiol,2002,75(891):215-219
|
被引
6
次
|
|
|
|
2.
Salomon L J. ISUOG practice guidelines: performance of first-trimester fetal ultrasound scan.
Ultrasound Obstet Gynecol,2013,41(1):102-113
|
被引
58
次
|
|
|
|
3.
杨林枫. 彩色多普勒诊断胎儿颈部水囊瘤1例.
湖北医药学院院报,2013,32(4):345-346
|
被引
1
次
|
|
|
|
4.
Nicolaides K H. Fetal nuchal translucency: ultrasound screening for chromosomal defects in first trimester of pregnancy.
BMJ,1992,304(6831):867-869
|
被引
41
次
|
|
|
|
5.
Sotiriadis A. Nuchal translucency and major congenital heart defects in fetuses with normal karyotype: a meta-analysis.
Ultrasound Obstet Gynecol,2013,42(4):383-389
|
被引
3
次
|
|
|
|
6.
Sharifzadeh M. Normal reference range of fetal nuchal translucency thickness in pregnant women in the first trimester, one center study.
J Res Med Sci,2015,20(10):969-973
|
被引
3
次
|
|
|
|
7.
Spaggiari E. Impact of Including or Removing Nuchal Translucency Measurement on the Detection and False-Positive Rates of First-Trimester Down Syndrome Screening.
Fetal Diagn Ther,2016,40(3):214-218
|
被引
5
次
|
|
|
|
8.
Baken L. First-Trimester Crown-Rump Length and Embryonic Volume of Fetuses with Structural Congenital Abnormalities Measured in Virtual Reality: An Observational Study.
Biomed Res Int,2017,2017:1953076
|
被引
2
次
|
|
|
|
9.
Sandikcioglu M. The prenatal development of the human nasal and vomeral bones.
J Craniofac Genet Dev Biol,1994,14(2):124-134
|
被引
5
次
|
|
|
|
10.
Bakker M. Prenasal Thickness, Prefrontal Space Ratio and Other Facial Profile Markers in First-Trimester Fetuses with Aneuploidies, Cleft Palate, and Micrognathia.
Fetal Diagn Ther,2018,43(3):231-240
|
被引
3
次
|
|
|
|
11.
Bunduki V. Fetal nasal bone length: reference range and clinical application in ultrasound screening for trisomy 21.
Ultrasound Obstet Gynecol,2003,21(2):156-160
|
被引
2
次
|
|
|
|
12.
Persico N. Nasal-bone length in euploid fetuses at 16-24 weeks' gestation by three-dimensional ultrasound.
Ultrasound Obstet Gynecol,2010,36(3):285-290
|
被引
4
次
|
|
|
|
13.
Sonek J. Additional first-trimester ultrasound markers.
Clin Lab Med,2010,30(3):573-592
|
被引
3
次
|
|
|
|
14.
李胜利. 孕11~13~(+ 6)周胎儿颅面部扫查新方法:五切面法筛查与诊断研究.
中华医学超声杂志(电子版),2017,14(8):586-597
|
被引
5
次
|
|
|
|
15.
Persico N. Prenasal thickness in trisomy-21 fetuses at 16-24 weeks of gestation.
Ultrasound Obstet Gynecol,2008,32(6):751-754
|
被引
4
次
|
|
|
|
16.
Maymon R. A model for secondtrimester Down syndrome sonographic screening based on facial landmarks and digit length measurement.
Ultrasound Obstet Gynecol,2006,27(3):290-295
|
被引
2
次
|
|
|
|
17.
Maymon R. Bedside estimation of Down syndrome risk from second-trimester ultrasound prenasal thickness.
Ultrasound Obstet Gynecol,2009,34(6):629-633
|
被引
3
次
|
|
|
|
18.
von Kaisenberg C S. Morphological classification of nuchal skin in human fetuses with trisomy 21, 18, and 13 at 12-18 weeks and in a trisomy 16 mouse.
Anat Embryol (Berl),1998,197(2):105-124
|
被引
2
次
|
|
|
|
19.
Chaoui R. Assessment of intracranial translucency (IT) in the detection of spina bifida at the 11-13-week scan.
Ultrasound Obstet Gynecol,2009,34(3):249-252
|
被引
18
次
|
|
|
|
20.
黄苑铭. 超声检测孕11~13~(+6)周胎儿颅内透明层的研究.
中华医学超声杂志(电子版),2011,8(4):772-777
|
被引
6
次
|
|
|
|
|