产前超声联合磁共振诊断胎儿部分性胼胝体发育不全

doi:10.3969/j.issn.1000-8535.2020.03.015

广州医药 ›› 2020, Vol. 51 ›› Issue (3): 65-69.DOI: 10.3969/j.issn.1000-8535.2020.03.015

产前超声联合磁共振诊断胎儿部分性胼胝体发育不全

尚宁¹, 张玉兰¹, 舒爽¹, 杨朝湘², 韩鹏慧², 黄汉林³

1 广东省妇幼保健院超声诊断科(广州 511400)
2 广东省妇幼保健院放射科(广州 511400)
3 广东省妇幼保健院院长室(广州 511400)

收稿日期:2020-02-05 出版日期:2020-05-20 发布日期:2021-11-28
通讯作者: 黄汉林,E-mail:551885833@qq.com
基金资助:
广东省省级科技计划项目(2016A020249001)

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

SHANG Ning¹, ZHANG Yulan¹, SHU Shuang¹, YANG Chaoxiang², HAN Penghui², HUANG Hanlin³

1 Department of Ultrasound, Guangdong Women and Children Hospital, Guangzhou 511400,China
2 Department of Radiology, Guangdong Women and Children Hospital, Guangzhou 511400, China
3 The President's Office, Guangdong Women and Children Hospital,Guangzhou 511400,China

Received:2020-02-05 Online:2020-05-20 Published:2021-11-28

摘要/Abstract

摘要： 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。

关键词: 超声检查, 产前, 部分性胼胝体发育不全, 磁共振成像

Abstract: 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.

Key words: Ultrasonic examination, Prenatal, Partial agenesis of corpus callosum, Magnetic resonance imaging

尚宁, 张玉兰, 舒爽, 杨朝湘, 韩鹏慧, 黄汉林. 产前超声联合磁共振诊断胎儿部分性胼胝体发育不全[J]. 广州医药, 2020, 51(3): 65-69.

SHANG Ning, ZHANG Yulan, SHU Shuang, YANG Chaoxiang, HAN Penghui, HUANG Hanlin. The diagnosis of partial agenesis of the corpus callosum in fetuses by prenatal ultrasound combined with magnetic resonance imaging[J]. Guangzhou Medical Journal, 2020, 51(3): 65-69.

[1]	黄文宇, 林永汉, 熊小英. 孕中后期中低等强度有氧运动对高龄孕妇产前生活质量和母婴结局的影响探讨[J]. 广州医药, 2020, 51(5): 66-70.
[2]	蔡伟琳, 刘祥治, 陈仲良, 邱创嘉, 张晓勇. 探讨磁共振磁敏感加权成像(SWI)对脑膜、脑转移瘤的诊断价值[J]. 广州医药, 2019, 50(3): 48-51.
[3]	朱素优. 无创产前基因检测技术在胎儿染色体非整倍体疾病诊断中的检出效率及临床应用价值[J]. 广州医药, 2018, 49(6): 79-82.
[4]	魏宜霖, 柳建华, 杨毓雯. 乳腺癌超声多参数及临床病理学特点与腋窝淋巴结转移的关系[J]. 广州医药, 2018, 49(5): 89-93.
[5]	白雪, 黄磊, 董珊珊, 闫晓君, 芦桂林. 3D-STI对冠心病患者PCI术治疗前后左心室局部收缩功能的评价[J]. 广州医药, 2018, 49(3): 15-18.
[6]	张秀玲, 王洁, 廖莲莲. 超声造影评价不同厚度颈动脉斑块内新生血管的临床研究[J]. 广州医药, 2018, 49(2): 46-49.
[7]	赵景. 声触诊组织定量技术在肾上腺肿瘤诊断中的初步应用[J]. 广州医药, 2018, 49(2): 42-45.
[8]	黄慧琼. 二次妊娠孕妇产前不良情绪调查及影响因素分析[J]. 广州医药, 2017, 48(5): 81-83.
[9]	钟艳萍, 黄燕灵, 严红莲. 产前优生筛查对出生缺陷的干预作用[J]. 广州医药, 2016, 47(6): 47-48.
[10]	吴克钻, 杨世海, 邱峰, 陆秀芬, 朱聪, 刘丹, 郑国燕. 苯作业非酒精性脂肪肝工人ALT水平与颈动脉硬化的相关性[J]. 广州医药, 2016, 47(2): 56-58.
[11]	陈元凯, 刘鸿圣, 艾斌, 缪定强. 新生儿臂丛神经损伤的MRI序列选择[J]. 广州医药, 2015, 46(5): 72-74.
[12]	蔡慧华. 孕母产前应用氨溴索对NRDS发病影响的时效性[J]. 广州医药, 2015, 46(5): 70-71.
[13]	陈少兰, 林汉楚. B超在农村妇科病普查中的应用价值[J]. 广州医药, 2015, 46(1): 70-70.

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

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 13

编辑推荐

Metrics

本文评价