Török O, Tóth Z, Szeifert G T, Papp Z
Department of Obstetrics and Gynaecology, University Medical School Debrecen, Hungary.
Acta Chir Hung. 1989;30(4):281-9.
Thorough ultrasound examination of fetal limbs and fetal movements allows us to recognize several types of osteochondrodysplasia, both in high risk pregnancies (with a family history of chondrodysplasia) and up on routine screening. Correct diagnosis of growth retardation requires nomograms for bone length, and we have developed our own standards for the humerus, ulna, femur and tibia. Since some types of osteochondrodysplasia are compatible with life and others not, it is important to make the correct diagnosis using several differential diagnostic criteria. Only in this way can we decide the further management of a pregnancy. At our Prenatal Diagnosis Centre 8 cases of osteochondrodysplasia have been diagnosed. We discuss the differential diagnosis and the pregnancy management for some of these cases.
对胎儿四肢进行全面的超声检查以及观察胎儿活动，使我们能够识别多种类型的骨软骨发育不良，无论是在高危妊娠（有软骨发育不良家族史）中还是在常规筛查中。准确诊断生长迟缓需要骨长度的标准曲线，我们已经制定了自己关于肱骨、尺骨、股骨和胫骨的标准。由于某些类型的骨软骨发育不良可以存活，而其他类型则不能，因此使用多种鉴别诊断标准做出正确诊断非常重要。只有这样，我们才能决定对妊娠的进一步处理。在我们的产前诊断中心，已诊断出8例骨软骨发育不良病例。我们讨论其中一些病例的鉴别诊断和妊娠处理。
