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胎儿小脑面积:妊娠13至39周的超声参考范围。

Fetal Cerebellar Area: Ultrasound Reference Ranges at 13-39 Weeks of Gestation.

作者信息

Manzo Luigi, Orlandi Giuliana, Gabrielli Olimpia, Toscano Paolo, Di Lella Enrica, Lettieri Antonia, Mazzarelli Laura Letizia, Sica Giordana, Di Meglio Letizia, Di Meglio Lavinia, Ruffo Gabriele, Sica Carmine, Gulino Ferdinando Antonio, Incognito Giosuè Giordano, Tuscano Attilio, Giorno Alice, Di Meglio Aniello

机构信息

Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80138 Naples, Italy.

Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy.

出版信息

J Clin Med. 2023 Jun 16;12(12):4080. doi: 10.3390/jcm12124080.

Abstract

BACKGROUND AND OBJECTIVES

The present study aims to provide prenatal 2-dimensional ultrasonographic (2D-US) nomograms of the normal cerebellar area.

MATERIALS AND METHODS

This is a prospective cross-sectional analysis of 252 normal singleton pregnancies, ranging from 13 to 39 weeks of gestation. The operator performed measurements of the fetal cerebellar area in the transverse plane using 2D-US. The relationship between cerebellar area and gestational age (GA) was determined through regression equations.

RESULTS

A significant, strong positive correlation was investigated between the cerebellar area with GA (r-value = 0.89), and a positive correlation indicates that with increasing GA, the cerebellar area increased in all the participants of the study. Several 2D-US nomograms of the normal cerebellar area were provided, and an increase of 0.4% in the cerebellar area each week of GA was reported.

CONCLUSIONS

We presented information on the typical dimensions of the fetal cerebellar area throughout gestation. In future studies, it could be evaluated how the cerebellar area changes with cerebellar abnormalities. It should be established if calculating the cerebellar area in addition to the routine transverse cerebellar diameter may help in discriminating posterior fossa anomalies or even help to identify anomalies that would otherwise remain undetected.

摘要

背景与目的

本研究旨在提供正常小脑区域的产前二维超声(2D-US)列线图。

材料与方法

这是一项对252例单胎正常妊娠进行的前瞻性横断面分析,妊娠周数为13至39周。操作人员使用二维超声在横切面上测量胎儿小脑区域。通过回归方程确定小脑区域与孕周(GA)之间的关系。

结果

研究发现小脑区域与孕周之间存在显著的强正相关(r值 = 0.89),正相关表明随着孕周增加,研究中所有参与者的小脑区域均增大。提供了几张正常小脑区域的二维超声列线图,并报告了孕周每增加一周小脑区域增加0.4%。

结论

我们给出了整个孕期胎儿小脑区域的典型尺寸信息。在未来的研究中,可以评估小脑区域在小脑异常情况下如何变化。除了常规的小脑横径外,计算小脑区域是否有助于鉴别后颅窝异常,甚至有助于识别那些否则会未被发现的异常,这一点应该得到确定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ada/10299055/2a8ed60433c1/jcm-12-04080-g001.jpg

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