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[三维超声产前诊断腭裂]

[Prenatal diagnosis of cleft palate by 3D ultrasound].

作者信息

García-López Maynor Alfonso, Bermúdez-Rojas María de la Luz, Oaxaca-Escobar Carlos

机构信息

Hospital Médica Campestre, León, Guanajuato.

出版信息

Ginecol Obstet Mex. 2010 Nov;78(11):626-32.

PMID:21299002
Abstract

A case of a fetus seen at 33.2 weeks of gestation who was diagnosed with cleft lip in the third quarter by routine ultrasound. Describes the sequential steps that led to a multidisciplinary support the diagnosis of cleft palate by three-dimensional image reconstruction, which were originally obtained to demonstrate the fetal face surface. Birth confirmed the prenatal findings and established the diagnosis of cleft lip and cleft hard and soft palate. It has been reported that the diagnosis of facial clefts can be done with relative ease prenatally, but the detection rate of facial clefts in routine tests is only 20%. Until recently the diagnosis of cleft palate is not considered possible, however in recent years advances in three-dimensional technology has made possible the development of techniques for the assessment of the palate and various authors have reported promising results of ingenious applications that make think that in the near future will approach the palate a fact. We discuss the advantages and disadvantages of these methods are relatively new and highlights how valuable this information is for parents of the affected creature.

摘要

一例妊娠33.2周的胎儿,在孕晚期通过常规超声诊断为唇裂。描述了通过三维图像重建对该胎儿进行多学科支持诊断腭裂的一系列步骤,最初获取三维图像是为了展示胎儿面部表面。出生后证实了产前检查结果,确诊为唇裂合并硬腭裂和软腭裂。据报道,产前相对容易诊断面部裂,但常规检查中面部裂的检出率仅为20%。直到最近,腭裂的诊断还被认为是不可能的,然而近年来三维技术的进步使得腭部评估技术得以发展,许多作者报告了巧妙应用的 promising 结果,这使得人们认为在不久的将来对腭部的诊断将成为现实。我们讨论了这些相对较新的方法的优缺点,并强调了这些信息对受影响胎儿父母的价值。 (注:原文中“promising”拼写错误,正确拼写应为“promising” ,翻译时按正确拼写翻译为“有前景的” )

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