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唇裂伴或不伴腭裂的产前超声诊断:陷阱与注意事项

Prenatal ultrasonographic diagnosis of cleft lip with or without cleft palate; pitfalls and considerations.

作者信息

Kim Dong Wook, Chung Seung-Won, Jung Hwi-Dong, Jung Young-Soo

机构信息

Department of Oral and Maxillofacial Surgery, Oral Science Research Institute, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 120-752 Republic of Korea.

Graduate School, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 120-752 Republic of Korea.

出版信息

Maxillofac Plast Reconstr Surg. 2015 Aug 14;37(1):24. doi: 10.1186/s40902-015-0019-z. eCollection 2015 Dec.

DOI:10.1186/s40902-015-0019-z
PMID:26322296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4551111/
Abstract

Ultrasonographic examination is widely used for screening of abnormal findings on prenatal screening. Cleft lip with or without cleft palate of the fetus can also be screened by using ultrasonography. Presence of abnormal findings of the fetal lip or palate can be detected by the imaging professionals. However, such findings may not be familiar to oral and maxillofacial surgeons. Oral and maxillofacial surgeons can use ultrasonographic imaging of fetal cleft lip with or without cleft palate to provide information regarding treatment protocols and outcomes to the parent. Therefore, surgeons should also be able to identify the abnormal details from the images, in order to setup proper treatment planning after the birth of the fetus. We report two cases of cleft lip with or without cleft palate that the official readings of prenatal ultrasonography were inconsistent with the actual facial structure identified after birth. Also, critical and practical points in fetal ultrasonographic diagnosis are to be discussed.

摘要

超声检查广泛用于产前筛查异常情况。胎儿唇裂伴或不伴腭裂也可通过超声检查进行筛查。成像专业人员能够检测到胎儿唇部或腭部的异常情况。然而,口腔颌面外科医生可能对这些发现并不熟悉。口腔颌面外科医生可以利用胎儿唇裂伴或不伴腭裂的超声成像,向患儿家长提供有关治疗方案和预后的信息。因此,外科医生也应能够从图像中识别异常细节,以便在胎儿出生后制定合适的治疗计划。我们报告两例唇裂伴或不伴腭裂病例,产前超声检查的官方报告与出生后实际发现的面部结构不一致。此外,还将讨论胎儿超声诊断中的关键和实用要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/07912b4e74ad/40902_2015_19_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/513bbe0c88e7/40902_2015_19_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/9c076fc32b77/40902_2015_19_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/265c276d008c/40902_2015_19_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/07912b4e74ad/40902_2015_19_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/513bbe0c88e7/40902_2015_19_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/9c076fc32b77/40902_2015_19_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/265c276d008c/40902_2015_19_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eac5/5126914/07912b4e74ad/40902_2015_19_Fig4_HTML.jpg

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本文引用的文献

1
Accuracy of prenatal three-dimensional ultrasound in the diagnosis of cleft hard palate when cleft lip is present.伴有唇裂时,三维超声产前检查对硬腭裂的诊断准确性。
Ultrasound Obstet Gynecol. 2011 Oct;38(4):440-4. doi: 10.1002/uog.8933. Epub 2011 Aug 25.
2
Prevalence at birth of cleft lip with or without cleft palate: data from the International Perinatal Database of Typical Oral Clefts (IPDTOC).唇裂伴或不伴腭裂的出生患病率:来自国际典型口腔裂隙围产期数据库(IPDTOC)的数据。
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Fetal cleft lip with and without cleft palate: comparison between MR imaging and US for prenatal diagnosis.
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胎儿唇裂伴或不伴腭裂的产前磁共振成像与超声诊断比较。
Eur J Radiol. 2011 Sep;79(3):437-42. doi: 10.1016/j.ejrad.2010.03.026. Epub 2010 Apr 24.
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Diagnostic accuracy of transabdominal ultrasound in detecting prenatal cleft lip and palate: a systematic review.经腹超声产前诊断唇腭裂的准确性:系统评价。
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Two- and three-dimensional sonographic assessment of the fetal face. 2. Analysis of cleft lip, alveolus and palate.胎儿面部的二维和三维超声评估。2. 唇裂、牙槽突裂和腭裂的分析。
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