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产前诊断中女性生殖器官畸形的临床表现。

Clinical spectrum of female genital malformations in prenatal diagnosis.

机构信息

Department of Obstetrics and Gynecology, University Hospital of Cologne, Kerpener Str. 34, 50924, Cologne, Germany.

Department of Obstetrics and Prenatal Medicine, University of Bonn, Bonn, Germany.

出版信息

Arch Gynecol Obstet. 2022 Dec;306(6):1847-1862. doi: 10.1007/s00404-022-06441-3. Epub 2022 Feb 27.

DOI:10.1007/s00404-022-06441-3
PMID:35220478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9633498/
Abstract

INTRODUCTION

Fetal genital malformations represent a rare and heterogeneous group of congenital malformations of the disorders of sexual development (DSD) spectrum.

METHODS

A thorough literature review on the main topics in the prenatal approach towards DSD was conducted.

RESULTS

First, a thorough overview on prenatal characteristics of the most common fetal genital malformations of ovaries, uterus and external genitalia, and second, a standardized approach for differential diagnosis in the presence of direct and indirect prenatal signs of DSDs.

CONCLUSIONS

This review is mainly directed towards the aspects of female genital malformations with  aspects of male DSD explained as well to aid in the prenatal differential diagnosis.

摘要

简介

胎儿生殖器畸形是性发育障碍(DSD)谱系中一组罕见且异质性的先天性畸形。

方法

对 DSD 产前方法的主要课题进行了全面的文献回顾。

结果

首先,全面概述了最常见的胎儿卵巢、子宫和外生殖器生殖器畸形的产前特征,其次,在存在 DSD 的直接和间接产前迹象的情况下,对鉴别诊断进行了标准化处理。

结论

本综述主要针对女性生殖器畸形的各个方面,同时也解释了男性 DSD 的各个方面,以帮助产前鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/0803fb4fac25/404_2022_6441_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/94e7eaa11434/404_2022_6441_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/96dde9b0adda/404_2022_6441_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/2465293bca2f/404_2022_6441_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/fb0e5942f315/404_2022_6441_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/0803fb4fac25/404_2022_6441_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/94e7eaa11434/404_2022_6441_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/d73cc84e4635/404_2022_6441_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/96dde9b0adda/404_2022_6441_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/2465293bca2f/404_2022_6441_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/fb0e5942f315/404_2022_6441_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/697c/9633498/0803fb4fac25/404_2022_6441_Fig6_HTML.jpg

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本文引用的文献

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Diagnosis and Therapy of Female Genital Malformations (Part 2). Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/052, May 2019).女性生殖器畸形的诊断与治疗(第2部分)。德国妇科和产科学会、奥地利妇科和产科学会及瑞士妇科和产科学会指南(S2k级别,德国医学科学院注册编号015/052,2019年5月)
Geburtshilfe Frauenheilkd. 2021 Dec 8;81(12):1329-1347. doi: 10.1055/a-1471-4988. eCollection 2021 Dec.
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Diagnosis and Therapy of Female Genital Malformations (Part 1). Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/052, May 2019).女性生殖器畸形的诊断与治疗(第1部分)。德国妇科与产科学会(DGGG)、奥地利妇科与产科学会(OEGGG)和瑞士妇科与产科学会(SGGG)指南(S2k级别,德国医学质量与效率委员会登记号015/052,2019年5月)
Geburtshilfe Frauenheilkd. 2021 Dec 8;81(12):1307-1328. doi: 10.1055/a-1471-4781. eCollection 2021 Dec.
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Fetal sex prediction measuring yolk sac size and yolk sac-fetal pole distance in the first trimester via ultrasound screening.经超声筛查测量妊娠早期卵黄囊大小和卵黄囊-胎儿茎长度预测胎儿性别。
J Ultrasound. 2021 Dec;24(4):489-492. doi: 10.1007/s40477-020-00516-0. Epub 2020 Nov 25.
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Analysis of cell-free DNA in a consecutive series of 13,607 routine cases for the detection of fetal chromosomal aneuploidies in a single center in Germany.对德国单一中心 13607 例常规病例进行游离胎儿 DNA 分析,以检测胎儿染色体非整倍体。
Arch Gynecol Obstet. 2021 Jun;303(6):1407-1414. doi: 10.1007/s00404-020-05856-0. Epub 2020 Nov 5.
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Prenat Diagn. 2021 Sep;41(10):1258-1263. doi: 10.1002/pd.5814. Epub 2020 Sep 2.
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Arch Gynecol Obstet. 2020 Jun;301(6):1455-1461. doi: 10.1007/s00404-020-05539-w. Epub 2020 Apr 18.
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Obstet Gynecol. 2020 May;135(5):1198-1206. doi: 10.1097/AOG.0000000000003791.
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Endocrine-Disrupting Chemicals in Human Fetal Growth.人类胎儿生长中的内分泌干扰化学品。
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Smith-Lemli-Opitz syndrome - Fetal phenotypes with special reference to the syndrome-specific internal malformation pattern.史密斯-连姆利-奥皮茨综合征 - 具有特定内在畸形模式的胎儿表型。
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46,XX DSD due to Androgen Excess in Monogenic Disorders of Steroidogenesis: Genetic, Biochemical, and Clinical Features.46,XX DSD 由于类固醇生成中单基因疾病中的雄激素过多症:遗传、生化和临床特征。
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