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[成骨不全的产前诊断。一例分类为经典Vrolik致死型病例的报告]

[Prenatal diagnosis of osteogenesis imperfecta. Report of a case classified as the classical Vrolik lethal type].

作者信息

Chalubinski K, Plenk H, Schaller A

机构信息

Abteilung für Pränatale Diagnostik und Therapie, Universitätsklinik für Frauenheilkunde Wien.

出版信息

Ultraschall Med. 1995 Feb;16(1):25-8. doi: 10.1055/s-2007-1003233.

DOI:10.1055/s-2007-1003233
PMID:7709216
Abstract

Report on prenatal sonographic diagnosis of osteogenesis imperfecta of the classical type "letalis Vrolik" in the case of a fetus in the 20th/21st week of pregnancy. The prenatal diagnosis of this kind of osteogenesis imperfecta is based on the soft membranous cranium (Caput membranacium), the microthorax caused by the bell-shaped configuration of the ribs and the diaphysis of the long bones which are too short for the age of pregnancy. These symptoms are first of all the consequence of a disturbed bone formation and mineralisation; its basis is a connatal deficit of collagen synthesis. The sonographic differential diagnosis to the type "Ekman Lobstein" of osteogenesis imperfecta and thanatophoric dwarfism are discussed.

摘要

关于妊娠20/21周胎儿经典型“致死性Vrolik型”成骨不全症的产前超声诊断报告。此类成骨不全症的产前诊断依据为软膜颅骨(膜状头)、肋骨钟形结构导致的微胸以及与妊娠周数相比过长的长骨干骺端。这些症状首先是骨形成和矿化紊乱的结果;其基础是先天性胶原合成缺陷。文中还讨论了与成骨不全症“埃克曼-洛布斯坦型”及致死性侏儒症的超声鉴别诊断。

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