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胎儿侧脑室增宽的诊治策略 被引量：2

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摘要 胎儿侧脑室增宽是胎儿脑发育异常的标记物之一。应选取前角及透明隔水平的大脑冠状面,测量经过脉络丛水平的侧脑室内侧壁和外侧壁的内侧缘的间距,垂直于侧脑室长轴[1]。侧脑室的宽度在中孕期及晚孕早期一般比较稳定,大约在6~8mm[2,3]。一般认为侧脑室宽度≥10mm时为侧脑室扩张[4]。侧脑室宽度在10~15mm之间为轻度扩张,〉15mm则为重度,不过有学者用轻度（10~12mm）、中度（13~15mm）、
作者 李奎
机构地区 北京大学第一医院妇产科
出处 《中国医刊》 CAS 2015年第8期13-15,共3页 Chinese Journal of Medicine
关键词 侧脑室 脑发育异常 诊治策略 中孕期 内侧缘 脉络丛 透明隔 脑室扩张 超声检查 染色体异常
分类号 R714.5 [医药卫生—妇产科学]
  • 相关文献

参考文献25

  • 1International Society of Ultrasound in Obstetrics and Gynecology. U1- trasonographic examination of the fetal central, nervous system: guidelines for performing ' basic examination' and the ' fetal neu- rosonogram' [ J ]. Ultrasound Obstet Gynecol, 2007,29 ( 1 ) : 109 - 116.
  • 2Cardoza JD, Goldstein RB, Filly RA. Exclusion of fetal ventriculo- megaly with a single measurement : the width of the lateral ventrlcu- lar atrium[J].Radiology, 1988,169(3 ) :711-714.
  • 3Pilu G, Reece EA, Goldstein I, et al. Sonographic evaluation of the normal developmental anatomy of the fetal cerebral ventricles: I1. The atria [ J ]. Obstet Gynecol, 1989,73 ( 2 ) :250-256.
  • 4Farrell TA, Hertzberg BS, Kliewer MA, et al. Fetal lateral ventri- cles : reassessment of normal values for atrial diameter at US [ J ]. Ra- diology, 1994,193 (2) :409-411.
  • 5Griffiths PD, Reeves M J, Morris JE, et al. A prospective study of fe- tuses with isolated ventrieulomegaly investigated by antenatal sonog- raphy and in utero MR imaging[ Jl. AJNR Am J Neuroradiol,2010, 31(1) :106-111.
  • 6Alagappan R, Browning PD, Laorr A, et al. Distal lateral ventricular atrium : reevaluation of normal range [ J ]. Radiology, 1994,193 (2) : 405 -408.
  • 7谢爱兰,王玉环,赵雅萍,叶祎,陈小鸣,金慧佩,朱雪琼.单纯性轻度侧脑室扩张胎儿的宫内转归及预后[J].中华妇产科杂志,2011,46(6):418-421. 被引量：20
  • 8Diana B, Timothy C, Mary DA, et al. Fetology : Diagnosis and Man-agement of the Fetal Patient, Second Edition [ M ]. New York : McGraw-Hill Professional Publishing,2010. 134-140.
  • 9Davis GH. Fetal hydrocephalus [ J ]. Clin Perinatol, 2003,30 ( 3 ) : 531-539.
  • 10Hannon T, Tennant PW, Rankin J, et al. Epidemiology, natural history, progression, and postnatal outcome of severe fetal ventricu- lomegaly[ J~. Obstet Gynecol,2012,120(6) :1345-1353.

二级参考文献23

  • 1李晓南.心理行为发育的评价//黎海芪,毛萌.儿童保健学.2版.北京:人民卫生出版社,2009:65-77.
  • 2Almog B, Gamzu R, Achiron R, et al. Fetal lateral ventricular width :what should be its upper limit? A prospective cohort study and reanalysis of the current and previous data. J Ultrasound Med, 2003,22 : 39 -43.
  • 3Falip C, Blanc N, Maes E, et al. Postnatal clinical and imaging follow-up of infants with prenatal isolated mild ventriculomegaly : a series of 101 cases. Pediatr Radiol,2007, 37:981-989.
  • 4Ouahba J, Luton D, Vuillard E, et al. Prenatal isolated mild ventriculomegaly : outcome in 167 cases. B JOG, 2006,113 : 1072- 1079.
  • 5Melchiorre K, Bhide A, Gika AD, et al. Counseling in isolated mild fetal ventriculomegaly. Ultrasound Obstet Gynecol,2009,34: 212 -224.
  • 6Greco P, Vimercati A, De Cosmo L,et al. Mild ventficulomegaly as a counselling challenge. Fetal Diagn Ther,2001,16 :398-401.
  • 7Graham E, Duhl A, Ural S, et al. The degree of antenatal ventriculomegaly is related to pediatric neurological morbidity. J Matern Fetal Med,2001,10:258-263.
  • 8D'Addario V, Pinto V, Di Cagno L, et al. Sonographic diagnosis of fetal cerebral ventriculomegaly: an update. J Matern Fetal Neonatal Med, 2007, 20: 7-14.
  • 9Gaglioti P, Oberto M, Todros T. The significance of fetal ventriculomegaly: etiology, short-and long-term outcomes. Prenat Diagn, 2009, 29 : 381-388.
  • 10International Society of Ultrasound in Obstetrics Gynecology Education Committee. Sonographic examination of the fetal central nervous system~ guidelines for performing the ' basic examination' and the ' fetal neurosonogram '. Ultrasound Obstet Gynecol, 2007, 29: 109-116.

共引文献33

同被引文献21

  • 1Cardoza JD, Goldstein RB, Filly RA. Exclusion of fetal ventriculomegaly with a single measurement: the width of the lateral ventricular atrium[J]. Radiology, 1988,169(3):711-714. DOI: 10.1148/radiology.169.3.3055034.
  • 2Pilu G, Reece EA, Goldstein I, et al. Sonographic evaluation of the normal developmental anatomy of the fetal cerebral ventricles: II. The atria[J]. Obstet Gyneeol, 1989,73(2):250- 256.
  • 3Farrell TA, Hertzberg BS, Kliewer MA, et al. Fetal lateral ventricles: reassessment of normal values for atrial diameter at US[J]. Radiology, 1994,193(2):409-411. DOI: 10.1148/ radiology. 193.2.7972754.
  • 4Sonographic examination of the fetal central nervous system: guidelines for performing the 'basic examination' and the 'fetal neurosonogram'[J]. Ultrasound Obstet Gynecol, 2007, 29(l): 109-116. DOI: 10.1002/uog.3909.
  • 5Gesell A, Halverson HM, Thomson H, et al. The first five years of life: a guide to the study of the preschool child, from the Yale Clinic of Child Development[M]. 9th ed. New York: Harper and Brothers, 1940.
  • 6D'Addario V, Pinto V, Di Cagno L, et al. Sonographic diagnosis of fetal cerebral ventriculomegaly: an update[J]. J Matern Fetal Neonatal Med, 2007,20(1):7-14. DOI: 10.1080/ 14767050601036188.
  • 7Gaglioti P, Oberto M, Todros T. The significance of fetal ventriculomegaly: etiology, short-and long term outcomes[J]. Prenat Diagn, 2009,29(4):381-388. DOI: 10.1002/pd.2195.
  • 8Ouahba J, Luton D, Vuillard E, et al. Prenatal isolated mild ventriculomegaly: outcome in 167 cases[J]. BJOG, 2006,113(9):1072 1079. DOI: 10.1111/j.1471-0528.2006. 01050.x.
  • 9Gaglioti P, Danelon D, Bontempo S, et al. Fetal cerebral ventriculomegaly: outcome in 176 cases[J]. Ultrasound Obstet Gynecol, 2005,25(4):372 377. DOI: 10.1002/uog.1857.
  • 10Breeze AC, Alexander PM, Murdoch EM, et al. Obstetric and neonatal outcomes in severe fetal ventriculomegaly[J]. Prenat Diagn, 2007,27(2):I24 129. DOI: 10.1002/pd.1624.

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二级引证文献15

中国医刊
2015年 第8期

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