CAJ | 학술논문

目的探讨产前超声对胎儿颅内出血的诊断价值.方法回顾分析我院诊断的5例胎儿颅内出血病例的产前二维超声表现,并与其他影像学检查结果进行对照.结果 5例颅内出血胎儿均于中晚孕期发现,产前超声主要特点为一侧或双侧侧脑室增宽,侧脑室内部或周边可见异常回声.5例全部经产前磁共振检查证实为出血性病变.4例胎儿人工终止妊娠,1例随访至生后10个月无神经系统异常表现.结论胎儿颅内出血具有特征性超声表现,很少合并其他畸形,详细的超声检查及随访有助于本病的早期发现及处理.
목적 탐토산전초성대태인로내출혈적진단개치.방법 회고분석아원진단적5례태인로내출혈병례적산전이유초성표현,병여기타영상학검사결과진행대조.결과 5례로내출혈태인균우중만잉기발현,산전초성주요특점위일측혹쌍측측뇌실증관,측뇌실내부혹주변가견이상회성.5례전부경산전자공진검사증실위출혈성병변.4례태인인공종지임신,1례수방지생후10개월무신경계통이상표현.결론 태인로내출혈구유특정성초성표현,흔소합병기타기형,상세적초성검사급수방유조우본병적조기발현급처리.
Objective To investigate the diagnostic value of prenatal ultrasonography in the fetal intracranial hemorrhage.Methods In a retrospective analysis,the ultrasonographic findings of five fetuses with intracranial hemorrhage diagnosed in our hospital were reviewed and compared with other imagemodalities.Results In the five fetuses with intracranial hemorrhage,the ultrasonographic features mainly included dilated uni-or bilateral ventricles and intraventricular echogenic foci or periventricular echodensities.The diagnosis of all cases were confirmed by prenatal magnetic resonance.Four of these cases chose termination of pregnancy,and the other fetus had a normal neurological follow-up after birth.Conclusions Fetal intracranial hemorrhage can be diagnosed accurately by prenatal ultrasonography,especially in the second and third trimester.It is rarely associated with other anomalies.Prenatal sonographic examination may detect the lesion and help to evaluate the prognosis.