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三例核型为特纳综合征且伴有囊性水瘤并发展为水肿的胎儿:预后与结局

Three fetuses karyotyped as Turner syndrome with cystic hygroma developing hydrops: prognosis and outcome.

作者信息

Basgul A, Güdücü N, Kavak Z N, Gökaslan H, Uyar E

机构信息

School of Medicine of Marmara University, Istanbul, Turkey.

出版信息

Clin Exp Obstet Gynecol. 2007;34(3):182-4.

Abstract

INTRODUCTION

We present three cases of fetuses diagnosed as Turner syndrome with cystic hygroma (CH) developing hydrops to discuss the prenatal diagnostic and prognostic criteria of CH in ultrasound and outcome of the fetuses.

CASES

The first case was 30-year-old pregnant woman with a nuchal translucency measurement of 8 mm at 12 weeks' gestation. Serial ultrasound examinations revealed non-septated cystic hygroma and hydrops. The pregnancy was terminated at the 18th week of gestation. Diagnosis of CH was made at 14 and 15 weeks of gestation in case 2 and case 3, respectively. Ultrasound revealed large cystic septated sacs in the nuchal area combined with serosal fluid collection and cutaneous edema. Spontaneous fetal demise occured at 21 and 16 weeks of gestation in cases 2 and 3, respectively. All fetuses were diagnosed as Turner syndrome.

摘要

引言

我们呈现三例被诊断为患有囊性水瘤(CH)的特纳综合征胎儿发生水肿的病例,以探讨超声检查中CH的产前诊断和预后标准以及胎儿的结局。

病例

第一例是一名30岁孕妇,妊娠12周时颈部透明带测量值为8毫米。系列超声检查显示为非分隔性囊性水瘤和水肿。妊娠在第18周终止。病例2和病例3分别在妊娠14周和15周时诊断出CH。超声显示颈部区域有大的分隔性囊性囊袋,伴有浆膜腔积液和皮肤水肿。病例2和病例3分别在妊娠21周和16周时发生自然胎儿死亡。所有胎儿均被诊断为特纳综合征。

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