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先天性肾上腺皮质增生症的产前诊断和宫内治疗:最新全面综述。

Prenatal diagnosis and in utero treatment of congenital adrenal hyperplasia: An up-to-date comprehensive review.

机构信息

Medway Maritime Hospital, Gillingham, UK.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA.

出版信息

Prenat Diagn. 2024 May;44(5):635-643. doi: 10.1002/pd.6542. Epub 2024 Mar 6.

DOI:10.1002/pd.6542
PMID:38448010
Abstract

Congenital adrenal hyperplasia (CAH) is a term that encompasses a wide range of conditions that affect the adrenals. Diagnosis and treatment before birth are important as irreparable birth defects can be avoided, decreasing the need for surgical intervention later in life, especially regarding genitalia anomalies. Although early implementation of dexamethasone in the prenatal treatment of CAH has been controversial, there is recent evidence that this treatment can reduce long-term complications.

摘要

先天性肾上腺皮质增生症(CAH)是一个涵盖广泛影响肾上腺疾病的术语。出生前的诊断和治疗很重要,因为可以避免不可挽回的出生缺陷,减少以后生活中对手术干预的需求,尤其是在生殖器畸形方面。虽然产前使用地塞米松治疗 CAH 一直存在争议,但最近有证据表明这种治疗可以减少长期并发症。

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Short-Term Impact of Newly Imposed Legal Restriction on DSD Surgery in Children in Germany.德国新实施的法律限制对儿童性发育异常(DSD)手术的短期影响
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