孕14周时尾椎退化综合征的三维超声诊断

Three dimensional ultrasound diagnosis of caudal regression syndrome at 14 gestational weeks.

作者信息

Bashiri Asher, Sheizaf Boaz, Burstein Eliezer, Landau Daniella, Hershkovitz Reli, Mazor Moshe

机构信息

Division of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beersheba, Israel.

出版信息

Arch Gynecol Obstet. 2009 Sep;280(3):505-7. doi: 10.1007/s00404-009-0943-1. Epub 2009 Feb 6.

DOI:10.1007/s00404-009-0943-1

PMID:19198864

Abstract

Caudal regression syndrome (CRS) is a rare complex abnormality, characterized by agenesis of the sacrum and lumbar spine, with lower limb neurological deficit and accompanying deformities of the pelvis, lower extremities, genitourinary, gastrointestinal and cardiac systems. Pregnancies complicated by insulin treated diabetes carry higher risk of fetal CRS than non-diabetic pregnancies. Three dimensional (3D) and four dimensional (4D) ultrasound may assist in early detection of CRS. We report a case of CRS diagnosed by 3D and 4D ultrasound examination at 14 weeks of gestation in a diabetic patient.

摘要

尾部退化综合征（CRS）是一种罕见的复杂畸形，其特征为骶骨和腰椎发育不全，伴有下肢神经功能缺损以及骨盆、下肢、泌尿生殖系统、胃肠道和心脏系统的伴随畸形。与非糖尿病妊娠相比，胰岛素治疗的糖尿病合并妊娠的胎儿发生CRS的风险更高。三维（3D）和四维（4D）超声检查有助于早期发现CRS。我们报告一例糖尿病患者在妊娠14周时通过3D和4D超声检查诊断为CRS的病例。