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皮埃尔·罗宾序列征的产前诊断:文献综述与展望未来

Prenatal Identification of Pierre Robin Sequence: A Review of the Literature and Look towards the Future.

作者信息

Kaufman Matthew G, Cassady Christopher I, Hyman Charles H, Lee Wesley, Watcha Mehernoor F, Hippard Helena K, Olutoye Olutoyin A, Khechoyan David Y, Monson Laura A, Buchanan Edward P

机构信息

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex., USA.

出版信息

Fetal Diagn Ther. 2016;39(2):81-9. doi: 10.1159/000380948. Epub 2015 May 8.

Abstract

Fetal ultrasonography is an important tool used to prenatally diagnose many craniofacial conditions. Pierre Robin sequence (PRS) is a rare congenital deformation characterized by micrognathia, glossoptosis, and airway obstruction. PRS can present as a perinatal emergency when the retropositioned tongue obstructs the airway leading to respiratory compromise. More predictable and reliable diagnostic studies could help the treating medical team as well as families prepare for these early airway emergencies. The medical literature was reviewed for different techniques used to prenatally diagnose PRS radiologically. We have reviewed these techniques and suggested a possible diagnostic pathway to consistently identify patients with PRS prenatally.

摘要

胎儿超声检查是用于产前诊断多种颅面疾病的重要工具。皮埃尔·罗宾序列征(PRS)是一种罕见的先天性畸形,其特征为小颌畸形、舌后坠和气道阻塞。当后置的舌头阻塞气道导致呼吸功能不全时,PRS可表现为围产期急症。更具可预测性和可靠性的诊断研究有助于治疗医疗团队以及家庭为这些早期气道急症做好准备。我们查阅了医学文献中用于产前放射学诊断PRS的不同技术。我们对这些技术进行了综述,并提出了一种可能的诊断途径,以便在产前持续识别患有PRS的患者。

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