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正常土耳其人群中 11 至 14 孕周颈项透明层厚度的分布。

Distribution of nuchal translucency thickness at 11 to 14 weeks of gestation in a normal Turkish population.

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey

Department of Radiology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey

出版信息

Turk J Med Sci. 2021 Feb 26;51(1):90-94. doi: 10.3906/sag-2001-48.

DOI:10.3906/sag-2001-48
PMID:32777901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7991852/
Abstract

BACKGROUND/AIM: The aim of this study was to determine fetal nuchal translucency (NT) thickness nomogram values in first trimester in a Turkish population and compare them with previously reported European and Asian nomogram data.

MATERIAL AND METHODS

Ultrasonographic measurements of crown-rump length (CRL) and NT thicknesses were obtained from 11 to 14 weeks of gestation in a normal Turkish population. Pregnant women with singleton pregnancy and fetal CRL between 45 and 84 mm were included in the study. The mean 1st, 3rd, 5th, 50th, 90th, 95th, 97th, and 99th percentiles and fixed cut off values of ≥ 2.5 mm, ≥ 3 mm, ≥ 3.5 mm NT thicknesses for a CRL between 45 and 84 mm were determined.

RESULTS

A total of 1605 healthy fetuses were enrolled in the study. The sonographic measurements were performed on 1541 (%94) fetuses transabdominally and on 99 cases (%4) by the transvaginal route. The mean NT thickness for CRL between 45 and 84 mm was 1.57 ± 074 mm, and the mean 95th, 97th, and 99th percentiles of these values were 2.82 mm, 3.17, and 4.75 mm, respectively. The incidence of NT thicknesses at fixed points of ≥ 2.5 mm, ≥ 3 mm, and ≥ 3.5 mm in normal fetuses were 6.7%, 4.1%, and 2.1%, respectively.

CONCLUSION

The present study demonstrated the nomogram data of fetal NT thickness in a Turkish population. We think that this report will be useful for further research related to NT thickness values on the prenatal diagnosis for the first trimester chromosomal abnormalities in Turkish populations.

摘要

背景/目的:本研究旨在确定土耳其人群中胎儿颈项透明层(NT)厚度的孕早期正常值,并与先前报道的欧洲和亚洲正常值数据进行比较。

材料和方法

在土耳其正常人群中,对 11-14 孕周的胎儿进行头臀长(CRL)和 NT 厚度的超声测量。纳入研究的孕妇为单胎妊娠且胎儿 CRL 在 45-84mm 之间。确定 45-84mm CRL 时 NT 厚度≥2.5mm、≥3mm、≥3.5mm 的第 1、3、5、50、90、95、97 和 99 百分位数和固定截断值。

结果

本研究共纳入 1605 例健康胎儿。超声测量在 1541 例(94%)胎儿中经腹进行,在 99 例(4%)胎儿中经阴道进行。45-84mm CRL 时 NT 厚度的平均值为 1.57±0.74mm,这些值的第 95、97 和 99 百分位数分别为 2.82mm、3.17mm 和 4.75mm。在正常胎儿中,NT 厚度固定点≥2.5mm、≥3mm 和≥3.5mm 的发生率分别为 6.7%、4.1%和 2.1%。

结论

本研究显示了土耳其人群中胎儿 NT 厚度的正常值数据。我们认为,本报告将有助于进一步研究土耳其人群中与 NT 厚度值相关的孕早期染色体异常的产前诊断。

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本文引用的文献

1
Cut-off value of nuchal translucency as indication for chromosomal microarray analysis.颈项透明层厚度截断值作为染色体微阵列分析的指征。
Ultrasound Obstet Gynecol. 2017 Sep;50(3):332-335. doi: 10.1002/uog.17421. Epub 2017 Jul 26.
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Increased nuchal translucency thickness and risk of neurodevelopmental disorders.颈项透明层厚度增加与神经发育障碍风险
Ultrasound Obstet Gynecol. 2017 May;49(5):592-598. doi: 10.1002/uog.15961. Epub 2017 Apr 5.
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Normal range of intracranial translucency in healthy Turkish pregnancies and its association with first trimester maternal serum biochemistry and ductus venosus pulsatility index. .健康土耳其孕妇颅内透明层的正常范围及其与孕早期母体血清生化指标和静脉导管搏动指数的关系。
Ginekol Pol. 2014 Oct;85(10):738-41.
4
Distribution of nuchal translucency thickness in Japanese fetuses.日本胎儿颈部透明带厚度的分布情况。
J Obstet Gynaecol Res. 2013 Apr;39(4):766-9. doi: 10.1111/j.1447-0756.2012.02037.x. Epub 2012 Oct 29.
5
Increased nuchal translucency, normal karyotype and infant development.颈项透明层增厚、染色体核型正常与婴儿发育。
Ultrasound Obstet Gynecol. 2012 Jan;39(1):28-33. doi: 10.1002/uog.10060.
6
Distribution of normal nuchal translucency thickness: a multicenter study in Thailand.正常颈项透明层厚度的分布:泰国的一项多中心研究。
Gynecol Obstet Invest. 2011;71(2):124-8. doi: 10.1159/000320754. Epub 2010 Dec 9.
7
The utility of detailed first trimester ultrasound examination in abnormal fetal nuchal translucency.孕早期详细超声检查在异常胎儿颈项透明层中的应用。
Prenat Diagn. 2008 Nov;28(11):1037-41. doi: 10.1002/pd.2119.
8
Long-term outcome of children born after a first-trimester measurement of nuchal translucency at the 99th percentile or greater with normal karyotype: a prospective study.孕早期颈部透明带测量值处于第99百分位数或更高且核型正常的儿童的长期预后:一项前瞻性研究
Am J Obstet Gynecol. 2007 Jan;196(1):53.e1-6. doi: 10.1016/j.ajog.2006.08.026.
9
Relation between increased fetal nuchal translucency thickness and chromosomal defects.胎儿颈部半透明厚度增加与染色体缺陷之间的关系。
Obstet Gynecol. 2006 Jan;107(1):6-10. doi: 10.1097/01.AOG.0000191301.63871.c6.
10
The distribution of fetal nuchal translucency thickness in normal Korean fetuses.韩国正常胎儿颈部透明带厚度的分布情况。
J Korean Med Sci. 2004 Feb;19(1):32-6. doi: 10.3346/jkms.2004.19.1.32.