Levine D, Kilpatrick S, Damato N, Callen P W
Department of Radiology, Beth Israel Hospital, Boston, Massachusetts 02215, USA.
J Ultrasound Med. 1996 May;15(5):375-9. doi: 10.7863/jum.1996.15.5.375.
This study evaluates the association between dolichocephaly and fetal outcome after preterm premature rupture of membranes. Dolichocephaly was more common in preterm fetuses in the breech presentation than those in the cephalic presentation and was more common in fetuses with oligohydramnios of long duration. Of fetuses in the cephalic presentation, 10 of 12 (83%) surviving dolichocephalic fetuses had respiratory distress syndrome compared with 31 of 73 (42%) normocephalic fetuses. However, other outcome parameters did not differ significantly. We conclude that the finding of dolichocephaly is associated with oligohydramnios of long duration. In fetuses with preterm premature rupture of membranes it is associated with respiratory distress syndrome, but not otherwise with a poor neonatal prognosis.
本研究评估了长头畸形与胎膜早破早产胎儿结局之间的关联。长头畸形在臀位早产胎儿中比头位早产胎儿更常见，在羊水过少持续时间较长的胎儿中也更常见。在头位胎儿中，12例存活的长头畸形胎儿中有10例（83%）发生呼吸窘迫综合征，而73例头型正常的胎儿中有31例（42%）发生呼吸窘迫综合征。然而，其他结局参数并无显著差异。我们得出结论，长头畸形的发现与羊水过少持续时间较长有关。在胎膜早破的胎儿中，它与呼吸窘迫综合征有关，但与新生儿预后不良无关。
