孤立性轻度侧脑室增宽胎儿的宫内转归及妊娠结局
R714.53; 目的 探讨产前超声诊断胎儿孤立性轻度侧脑室增宽(isolated mild ventriculomegaly,IMVM)的宫内转归及妊娠结局.方法 回顾性分析2010年1月至2015年1 2月复旦大学附属妇产科医院诊断并能随访的88例IMVM胎儿的产检信息和妊娠结局.依据中孕期胎儿侧脑室宽度进行分组:侧脑室宽度10～10.9 mm (A组)侧脑室宽度11～12 mm(B组).采用Pearson x2检验进行组间率的比较,多因素Logistic回归分析IMVM宫内转归的影响因素.结果 产前IMVM总体恢复率为73.9％(65/88).A组恢复率为82.1％(55/67),B组恢...
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| Published in | 复旦学报（医学版） Vol. 45; no. 5; pp. 676 - 681 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
复旦大学附属妇产科医院超声科 上海200090%复旦大学附属妇产科医院产科 上海200090
25.09.2018
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1672-8467 |
| DOI | 10.3969/j.issn.1672-8467.2018.05.012 |
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| Abstract | R714.53; 目的 探讨产前超声诊断胎儿孤立性轻度侧脑室增宽(isolated mild ventriculomegaly,IMVM)的宫内转归及妊娠结局.方法 回顾性分析2010年1月至2015年1 2月复旦大学附属妇产科医院诊断并能随访的88例IMVM胎儿的产检信息和妊娠结局.依据中孕期胎儿侧脑室宽度进行分组:侧脑室宽度10～10.9 mm (A组)侧脑室宽度11～12 mm(B组).采用Pearson x2检验进行组间率的比较,多因素Logistic回归分析IMVM宫内转归的影响因素.结果 产前IMVM总体恢复率为73.9％(65/88).A组恢复率为82.1％(55/67),B组恢复率为47.6％(10/21),组间差异有统计学意义(P＜0.05).多因素Logistic回归分析显示首次检出IMVM时侧脑室宽度≥11 mm(OR =3.297,P=0.047)和首次检出时的孕周(OR=1.381,P=0.040)是影响IMVM宫内转归的危险因素.胎儿出生后随访2～5年,有远期随访结果的64例胎儿中(64/88,72.7％)58例(58/64,90.6％)生长发育正常,其余胎儿(6/64,9.4％)产后合并智力及语言发育障碍.结论 大多数IMVM胎儿的宫内转归及预后较好;检出IMVM时侧脑室的宽度和孕周影响其宫内转归. |
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| AbstractList | R714.53; 目的 探讨产前超声诊断胎儿孤立性轻度侧脑室增宽(isolated mild ventriculomegaly,IMVM)的宫内转归及妊娠结局.方法 回顾性分析2010年1月至2015年1 2月复旦大学附属妇产科医院诊断并能随访的88例IMVM胎儿的产检信息和妊娠结局.依据中孕期胎儿侧脑室宽度进行分组:侧脑室宽度10～10.9 mm (A组)侧脑室宽度11～12 mm(B组).采用Pearson x2检验进行组间率的比较,多因素Logistic回归分析IMVM宫内转归的影响因素.结果 产前IMVM总体恢复率为73.9％(65/88).A组恢复率为82.1％(55/67),B组恢复率为47.6％(10/21),组间差异有统计学意义(P＜0.05).多因素Logistic回归分析显示首次检出IMVM时侧脑室宽度≥11 mm(OR =3.297,P=0.047)和首次检出时的孕周(OR=1.381,P=0.040)是影响IMVM宫内转归的危险因素.胎儿出生后随访2～5年,有远期随访结果的64例胎儿中(64/88,72.7％)58例(58/64,90.6％)生长发育正常,其余胎儿(6/64,9.4％)产后合并智力及语言发育障碍.结论 大多数IMVM胎儿的宫内转归及预后较好;检出IMVM时侧脑室的宽度和孕周影响其宫内转归. |
| Author | 肖喜荣 顾蔚蓉 符忠蓬 任芸芸 赵凡桂 张艳蕾 |
| AuthorAffiliation | 复旦大学附属妇产科医院超声科 上海200090%复旦大学附属妇产科医院产科 上海200090 |
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| Author_FL | REN Yun-yun ZHANG Yan-lei XIAO Xi-rong ZHAO Fan-gui FU Zhong-peng GU Wei-rong |
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| Keywords | 预后 妊娠结局 孤立性轻度侧脑室增宽 宫内转归 |
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| Title | 孤立性轻度侧脑室增宽胎儿的宫内转归及妊娠结局 |
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