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先天性甲状腺肿胎儿甲状腺的彩色多普勒成像:病例报告

Color Doppler imaging of the thyroid gland in a fetus with congenital goiter: a case report.

作者信息

Soliman S, McGrath F, Brennan B, Glazebrook K

机构信息

Department of Obstetrics and Gynecology, McMaster University Medical Centre, Hamilton, Ontario, Canada.

出版信息

Am J Perinatol. 1994 Jan;11(1):21-3. doi: 10.1055/s-2007-994527.

DOI:10.1055/s-2007-994527
PMID:8155203
Abstract

Fetal goiter is a rare disorder, usually associated with maternal thyroid disease. Antenatal diagnosis of fetal goiter is crucial for the immediate postpartum management of these neonates. A case report is presented of an antenatally diagnosed fetal goiter induced by antithyroid medications. Color Doppler was used to demonstrate a high flow pattern that, unlike in the adult goiter, was associated with hypothyroidism in the neonate. A scan of fetal neck region is recommended in patients with current or previous history of thyroid disease, or if neck extension is noted on routine examination of fetal spine.

摘要

胎儿甲状腺肿是一种罕见的疾病,通常与母体甲状腺疾病有关。胎儿甲状腺肿的产前诊断对于这些新生儿的产后即刻管理至关重要。本文报告一例由抗甲状腺药物引起的产前诊断胎儿甲状腺肿病例。彩色多普勒用于显示一种高血流模式,与成人甲状腺肿不同的是,该模式与新生儿甲状腺功能减退有关。对于有甲状腺疾病现病史或既往史的患者,或在胎儿脊柱常规检查中发现颈部伸展的患者,建议进行胎儿颈部区域扫描。

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引用本文的文献

1
Antithyroid drug-induced fetal goitrous hypothyroidism.抗甲状腺药物引起的胎儿甲状腺肿性甲状腺功能减退症。
Nat Rev Endocrinol. 2011 Mar 15;7(7):396-406. doi: 10.1038/nrendo.2011.34.