Philipp T, Kalousek D K
Ludwig Boltzmann Institute of Clinical Gynecology and Obstetrics, Danube Hospital, Langobardenstrasse 122, 1220 Vienna, Austria.
Prenat Diagn. 2001 Oct;21(10):835-8. doi: 10.1002/pd.150.
We report the diagnosis of amnion rupture sequence made by sonography and fetoscopy during the first trimester of gestation in a case of missed abortion. The investigation revealed a demised fetus with the characteristics of 9 weeks of development. The early fetus had an amnion adhesion at the tip of the nose and strands of amnion wrapped around the terminal phalanges of both feet. No defects in addition to the face and limb involvement were identified. The karyotype was normal: 46,XX. In the reported case, fetoscopy allowed confirmation of the sonographic diagnosis of an amnion rupture sequence in the first trimester of gestation and consequently helped to clarify the cause of abortion in this case of early fetal demise.
我们报告了一例稽留流产病例，在妊娠早期通过超声检查和胎儿镜检查诊断为羊膜破裂序列征。检查发现一个死亡胎儿，具有9周发育的特征。早期胎儿鼻尖处有羊膜粘连，双脚末节指骨周围有羊膜索带。除面部和肢体受累外，未发现其他缺陷。核型正常：46,XX。在本报告病例中，胎儿镜检查证实了妊娠早期羊膜破裂序列征的超声诊断，从而有助于明确该例早期胎儿死亡的流产原因。
