| 摘要: |
| 目的 探讨阴道三维超声测量丘脑间粘合在胎儿中脑导水管梗阻性脑积水诊断中的作用。方法 选取2021年1月-2022年4月我院收治的60例存在胎儿侧脑室扩张的孕妇，选择同期体检的健康孕妇43例作为对照组。比较两组超声指标的差异。根据经腹彩超结果将侧脑室扩张胎儿分为侧脑室扩张轻度组（n=42）及侧脑室扩张重度组（n=18）。比较两组不同程度侧脑室扩张胎儿超声指标。采用Pearson相关性分析法分析侧脑室扩张与胎儿超声指标的相关性。结果 侧脑室扩张组胎儿C、CD、WA明显高于健康对照组胎儿（P<0.05），APD、ITAD、ITAD/WA明显低于健康对照组胎儿（P<0.05）；侧脑室扩张重度组胎儿C、CD、WA明显高于侧脑室扩张轻度组（P<0.05），APD、ITAD、ITAD/WA明显低于侧脑室扩张轻度组（P<0.05）；Pearson相关性分析结果显示，侧脑室扩张与胎儿C、CD、WA呈正相关（P<0.05），侧脑室扩张与胎儿APD、ITAD、ITAD/WA呈负相关（P<0.05）。结论 阴道三维超声可诊断丘脑间粘合在胎儿中脑导水管梗阻性脑积水。 |
| 关键词: 阴道三维超声 丘脑间粘合 阴道三维超声 侧脑室扩张 脑积水 |
| DOI： |
| 投稿时间：2022-08-02修订日期：2023-03-16 |
| 基金项目:江西省卫生健康委科技计划(编号:SKJP220201694) |
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| The role of interthalamic adhesion measured by transvaginal three-dimensional ultrasonography in the diagnosis of fetal midbrain aqueduct obstruction hydrocephalusWang Ya, Li zhi-rong, Zhou Jun-hui |
| Wang Ya |
| () |
| Abstract: |
| Objective To investigate the role of vaginal three-dimensional ultrasound measurement of interthalamic adhesion in the diagnosis of fetal midbrain aqueduct obstruction hydrocephalus. Methods A total of 60 pregnant women with fetal ventriculomegaly who were admitted to our hospital from January 2021 to April 2022 were selected, according to the results of transabdominal color Doppler ultrasound, fetuses with lateral ventricle dilatation were divided into mild lateral ventricle dilatation group and severe lateral ventricle dilatation group, and 43 healthy pregnant women who underwent physical examination during the same period were selected as the control group. All pregnant women underwent vaginal three-dimensional ultrasonography, to compare the differences of ultrasound indexes between the two groups and analyze their correlation with lateral ventricle dilatation. Results The fetal C, CD, and WA of the fetuses in the ventricle expansion group were significantly higher than those in the healthy control group (P<0.05), and APD, ITAD and ITAD / WA were significantly lower than that of healthy control fetuses (P <0.05) , Fetal C, CD and WA were significantly higher in the severe lateral ventricle expansion group than in the mild lateral ventricular expansion group (P<0.05), APD, ITAD and ITAD/WA were significantly lower than those in mild lateral ventricle dilatation group (P<0.05). The results of Pearson correlation analysis showed that lateral ventricle expansion was positively associated with fetal C, CD, and WA(P<0.05), and lateral ventricle expansion was negatively correlated with fetal APD, ITAD, ITAD/WA (P<0.05). Conclusion Transvaginal three-dimensional ultrasound can diagnose obstructive hydrocephalus with thalamic adhesions in the midbrain aqueduct of fetus. |
| Key words: Vaginal Three-Dimensional Ultrasound Adhaesio Interthalamica Three-Dimensional Vaginal Ultrasound Lateral Ventricle Dilatation Hydrocephalus |
