Sivan E, Koch S, Reece E A
Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, Philadelphia, Pa., USA.
Fetal Diagn Ther. 1995 Sep-Oct;10(5):311-4. doi: 10.1159/000264250.
A case report is presented herein of a 33-year-old woman with a history of congenital adrenal hyperplasia in 2 prior births. At 30 weeks of gestation, a scan of the fetal perineum demonstrated ambiguous genitalia which was confirmed at birth. This case demonstrates that when the fetal perineum is well visualized, the diagnosis of normal and abnormal genital development can be made sonographically. This can assist in perinatal/neonatal management, planning and in some cases, can also serve as an additional tool to monitor the success of prenatal steroid therapy of fetal congenital adrenal hyperplasia.
本文报告了一例33岁女性病例，该女性前两胎有先天性肾上腺皮质增生病史。妊娠30周时，胎儿会阴部扫描显示生殖器模糊，出生时得到证实。该病例表明，当胎儿会阴部清晰可见时，可通过超声检查诊断生殖器发育正常或异常。这有助于围产期/新生儿管理和规划，在某些情况下，还可作为监测胎儿先天性肾上腺皮质增生产前类固醇治疗效果的辅助工具。
