《广州医药》
点击关注官方服务号追踪稿件状态

【重要服务提醒】《广州医药》杂志服务号已上线稿件查询功能

各位作者、审稿专家:
本刊官方微信服务号新增稿件状态查询服务,无需反复登录投稿系统,微信即可随时查看审稿进度、修回通知、录用结果,稿件更新实时推送提醒,同步接收期刊征稿、学术资讯。

操作方式

微信搜索关注广州医药杂志服务号 → 点击菜单栏「绑定账号」→ 输入投稿邮箱完成账号关联;请关闭微信消息免打扰,避免遗漏稿件通知。

《广州医药》编辑部

广州医药杂志服务号
您的位置: 首页 > 2020年5月 第51卷 第3期 > 文字全文
2023年7月 第38卷 第7期11
目录

产前超声联合磁共振诊断胎儿部分性胼胝体发育不全

The diagnosis of partial agenesis of the corpus callosum in fetuses by prenatal ultrasound combined with magnetic resonance imaging

来源期刊: 广州医药 | 65-69 发布时间:2021-11-28 收稿时间:2025/11/13 17:49:00 阅读量:126
作者:
关键词:
超声检查产前部分性胼胝体发育不全磁共振成像
Ultrasonic examinationPrenatalPartial agenesis of corpus callosumMagnetic resonance imaging
DOI:
10.3969/j.issn.1000-8535.2020.03.015
收稿时间:
2020-02-05 
修订日期:
 
接收日期:
 
引用总数:
0  
目的 探讨产前超声联合磁共振诊断胎儿部分性胼胝体发育不全的价值。方法 收集产前超声联合磁共振诊断为部分性胼胝体发育不全的胎儿15例,对比出生或引产后的检查结果,分析产前超声特征。结果 产前超声直接征象:胼胝体正中矢状切面相应部位缺失12例(12/15,80.0%)。间接征象:透明隔腔形态异常(80.0%)、侧脑室扩张(73.3%)、大脑纵裂池分离(73.3%)、脑中线丘脑后方囊性包块(26.7%)、侧脑室“泪滴状改变”(26.7%)、胼周动脉走行异常(26.7%),合并颅内或其他系统畸形6例。对比出生或引产后随访结果,诊断准确率:产前超声80.0%,产前磁共振93.3%。结论 超声可以诊断胎儿部分性胼胝体发育不全,更精确的诊断建议结合产前胎儿头颅磁共振检查。
Objective To explore the value of prenatal ultrasound in diagnosis of fetal partial agenesis of corpus callosum. Methods 15 fetuses diagnosed as partial agenesis of corpus callosum by prenatal ultrasound combined with magnetic resonance imaging (MRI) were collected. Results of examination after birth or induction of labor were compared to analyze the characteristics of prenatal ultrasound. Results Direct signs were observed in the prenatal sonographic features: 12 cases (12/15, 80.0%) were missing corresponding parts in the midsagittal section of corpus callosum. Indirect signs: transparent partition morphological abnormalities (80.0%), lateral ventricle expansion (73.3%), separation of longitudinal crack on the brain pool(73.3%), posterior thalamic midline cystic mass (26.7%), “teardrop change” of the lateral ventricle (26.7%), abnormal course of pericallosal artery (26.7%), with intracranial and other system deformity in 6 cases, including multiple anomalies. Compared with the follow-up results after birth or induction of labor, the diagnostic accuracy was 80.0% of prenatal ultrasound and 93.3% of prenatal MRI. Conclusion Ultrasonography may diagnose fetal partial agenesis of corpus callosum properly, and more accurate diagnosis could be finished combining with prenatal fetal cranial MRI.
1、 FOLLIOT-LE DOUSSAL L, CHADIE A, BRASSEUR-DAUDRUY M, et al. Neurodevelopmental outcome in prenatally diagnosed isolated agenesis of the corpus callosum[J]. Early Hum Dev, 2018(116):9-16. FOLLIOT-LE DOUSSAL L, CHADIE A, BRASSEUR-DAUDRUY M, et al. Neurodevelopmental outcome in prenatally diagnosed isolated agenesis of the corpus callosum[J]. Early Hum Dev, 2018(116):9-16.
2、 D'ANTONIO F, PAGANI G, FAMILIARI A, et al. Outcomes associated with isolated agenesis of the corpus callosum: a meta-analysis[J]. Pediatrics, 2016,138(3):e20160445. D'ANTONIO F, PAGANI G, FAMILIARI A, et al. Outcomes associated with isolated agenesis of the corpus callosum: a meta-analysis[J]. Pediatrics, 2016,138(3):e20160445.
3、 STOLL C, DOTT B, ROTH M P. Associated anomalies in cases with agenesis of the corpus callosum[J]. Am J Med Genet A, 2019,179(10):2101-2111. STOLL C, DOTT B, ROTH M P. Associated anomalies in cases with agenesis of the corpus callosum[J]. Am J Med Genet A, 2019,179(10):2101-2111.
4、 NOGUCHI R, ABE K, HAMADA H, et al. Outcomes of patients with prenatally diagnosed agenesis of the corpus callosum in conjunction with ventriculomegaly[J]. Arch Gynecol Obstet, 2014,290(2):237-242. NOGUCHI R, ABE K, HAMADA H, et al. Outcomes of patients with prenatally diagnosed agenesis of the corpus callosum in conjunction with ventriculomegaly[J]. Arch Gynecol Obstet, 2014,290(2):237-242.
5、 SANTIROCCO M, RODO C, ILLESCAS T, et al. Accuracy of prenatal ultrasound in the diagnosis of corpus callosum anomalies[J]. J Matern Fetal Neonatal Med, 2019(29):1-6. SANTIROCCO M, RODO C, ILLESCAS T, et al. Accuracy of prenatal ultrasound in the diagnosis of corpus callosum anomalies[J]. J Matern Fetal Neonatal Med, 2019(29):1-6.
6、 MANEVICH-MAZOR M, WEISSMANN-BRENNER A, BAR Y O, et al. Added value of fetal mri in the evaluation of fetal anomalies of the corpus callosum: a retrospective analysis of 78 cases[J]. Ultraschall Med, 2018,39(5): 513-525. MANEVICH-MAZOR M, WEISSMANN-BRENNER A, BAR Y O, et al. Added value of fetal mri in the evaluation of fetal anomalies of the corpus callosum: a retrospective analysis of 78 cases[J]. Ultraschall Med, 2018,39(5): 513-525.
7、 TURKYILMAZ G, SARAC S T, ERTURK E, et al. Utilization of neurosonography for evaluation of the corpus callosum malformations in the era of fetal magnetic resonance imaging[J]. J Obstet Gynaecol Res,2019,45(8):1472-1478. TURKYILMAZ G, SARAC S T, ERTURK E, et al. Utilization of neurosonography for evaluation of the corpus callosum malformations in the era of fetal magnetic resonance imaging[J]. J Obstet Gynaecol Res,2019,45(8):1472-1478.
8、 SOTIRIADIAS A, MAKRYDIMAS G. Neurodevelopment after prenatal diagnosis of isolated agenesis of the corpus callosum: an integrative review[J]. Am J Obstet Gynecol, 2012,206(4):337. SOTIRIADIAS A, MAKRYDIMAS G. Neurodevelopment after prenatal diagnosis of isolated agenesis of the corpus callosum: an integrative review[J]. Am J Obstet Gynecol, 2012,206(4):337.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录