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胎儿性别和胎龄与小脑延髓池大小有关吗?

Are fetal gender and gestational age related to the size of cisterna magna?

机构信息

Shandong Provincial Maternal and Child Health Care Hospital, Jinan, China.

Shandong Provincial Qingzhou People's Hospital, Weifang, China.

出版信息

J Matern Fetal Neonatal Med. 2022 Nov;35(22):4312-4317. doi: 10.1080/14767058.2020.1849111. Epub 2020 Dec 1.

Abstract

OBJECTIVES

The purpose of this article was to explore whether the gestational age(GA)and gender could affect the size of the cisterna magna (CM).

METHODS

This study that included pregnant women who were between 20 ∼ 39. The recorded included BPD, HC, anteroposterior diameter of CM and gender. The fetuses were divided into normal and isolated enlargement of the CM (IECM)group for statistical analysis.

RESULTS

Seven hundred ninety six fetuses with normal CM, 412 cases were boys and 384 cases were girls. 73 fetuses with IECM, 59 cases were boys and 14 cases were girls. The anteroposterior diameter of the CM increased with GA during 20-26weeks. After 27 weeks, the anteroposterior diameter of CM became stable. In the IECM group, the mean anteroposterior of male and female fetuses were 1.31 ± 0.18 cm and 1.24 ± 0.15 cm, respectively. The IECM fetus accounted for 8.4% of the total number of fetuses, male IECM accounted for 14.3% of normal male fetus, and female fetus was 3.6%, which showed that male fetus had a higher rate of IECM than female (2 = 21.6, <.001).

CONCLUSIONS

There is a gender difference between normal fetuses and IECM fetuses. Based on our finding, it is reasonable to establish the normal value of CM according to the gender difference.

摘要

目的

本文旨在探讨胎龄(GA)和性别是否会影响小脑延髓池(CM)的大小。

方法

本研究纳入了 20 至 39 周的孕妇。记录的指标包括 BPD、HC、CM 的前后径和性别。将胎儿分为正常 CM 组和孤立性 CM 扩大(IECM)组进行统计分析。

结果

796 例正常 CM 的胎儿中,男孩 412 例,女孩 384 例。73 例 IECM 胎儿中,男孩 59 例,女孩 14 例。20-26 周时,CM 的前后径随 GA 增加而增加。27 周后,CM 的前后径趋于稳定。在 IECM 组中,男性和女性胎儿的 CM 前后径平均值分别为 1.31±0.18cm 和 1.24±0.15cm。IECM 胎儿占总胎儿数的 8.4%,男性 IECM 占正常男性胎儿的 14.3%,女性胎儿为 3.6%,表明男性胎儿的 IECM 发生率高于女性(χ²=21.6,<0.001)。

结论

正常胎儿和 IECM 胎儿之间存在性别差异。基于我们的发现,根据性别差异建立 CM 的正常值是合理的。

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