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三维超声产前诊断合并丹迪-沃克囊肿疝出胎儿的颈肋

Prenatal diagnosis of cervical ribs by three-dimensional ultrasound in a foetus with a herniated Dandy-Walker cyst.

作者信息

Schut Pauline, Verdijk Robert M, Joosten Marieke, Eggink Alex J

机构信息

Prenatal Medicine, Erasmus MC, Rotterdam, The Netherlands.

Department of Pathology, Erasmus MC, Rotterdam, The Netherlands.

出版信息

BMJ Case Rep. 2018 Dec 18;11(1):e225381. doi: 10.1136/bcr-2018-225381.

Abstract

We present a case report of a foetus with a herniated Dandy-Walker cyst and bilateral rudimentary cervical ribs. The cervical ribs were visualised prenatally by three-dimensional ultrasound and confirmed by post-termination radiography. The prevalence of cervical ribs is higher in deceased fetuses and neonates with or without structural abnormalities compared with healthy individuals and might be regarded as a marker of disadvantageous fetal development. We demonstrate that evaluation of the fetal vertebral pattern by three-dimensional ultrasonography, including the cervical region, is feasible and could provide valuable information regarding fetal and neonatal prognosis.

摘要

我们报告一例患有丹迪-沃克囊肿疝和双侧颈椎肋骨发育不全的胎儿病例。颈椎肋骨在产前通过三维超声得以显示,并在终止妊娠后的X光检查中得到证实。与健康个体相比,颈椎肋骨在有或无结构异常的死胎和新生儿中更为常见,可能被视为胎儿发育不利的一个标志。我们证明,通过三维超声检查评估胎儿的椎体形态,包括颈椎区域,是可行的,并且可以提供有关胎儿和新生儿预后的有价值信息。

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