Pala Halil Gürsoy, Artunç-Ülkümen Burcu, Koyuncu Faik Mümtaz, Uyar Yıldız, Bülbül-Baytur Yeşim
Department of Obstetrics and Gynecology, Division of Perinatology, Celal Bayar University Faculty of Medicine, Manisa, Turkey.
J Turk Ger Gynecol Assoc. 2015 Jul 14;16(3):170-3. doi: 10.5152/jtgga.2015.15062. eCollection 2015.
We aimed to determine the normal ranges for biorbital (BOD) and interorbital distances (IOD) during the second trimester in Turkish women with normal pregnancies and to assess the correlation between BOD, IOD, and other fetal craniofacial structures and biometric parameters.
Our retrospective study comprised 1328 women with singleton normal pregnancies who had undergone ultrasonography (USG) examinations at 19-23 weeks of gestation in the second trimester screening. The measurements of BOD and IOD were obtained with the coronal section of the fetal face at the plane of orbits.
Mean BOD was 3.4±0.33 cm, whereas mean IOD was 1.28±0.24 cm. Correlation analysis revealed that BOD was significantly correlated with IOD, transcerebellar diameter (TCD), cisterna manga (CM), nuchal fold (NF), nasal bone (NB), biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), femur length (FL), and gestational week. There was a significant relation between IOD and the lateral ventricle posterior horn, TCD, CM, NF, NB, BPD, HC, AC, and FL.
The reference ranges obtained in our study enabled accurate evaluation of BOD and IOD in the second trimester of normal pregnancies. USG detection of fetal orbital biometric anomalies may alert the clinician for different anomalies associated with abnormal development of eye.
我们旨在确定土耳其正常妊娠女性孕中期的双眼眶间距(BOD)和眶间距离(IOD)的正常范围,并评估BOD、IOD与其他胎儿颅面结构及生物测量参数之间的相关性。
我们的回顾性研究纳入了1328名单胎正常妊娠女性,她们在孕中期筛查的19至23周时接受了超声检查(USG)。BOD和IOD的测量是在胎儿面部眼眶平面的冠状面上进行的。
平均BOD为3.4±0.33厘米,而平均IOD为1.28±0.24厘米。相关性分析显示,BOD与IOD、小脑横径(TCD)、小脑延髓池(CM)、颈项透明层(NF)、鼻骨(NB)、双顶径(BPD)、头围(HC)、腹围(AC)、股骨长度(FL)和孕周显著相关。IOD与侧脑室后角、TCD、CM、NF、NB、BPD、HC、AC和FL之间存在显著关系。
我们研究中获得的参考范围能够准确评估正常妊娠孕中期的BOD和IOD。超声检测胎儿眼眶生物测量异常可能会提醒临床医生注意与眼部异常发育相关的不同异常情况。