胎儿室管膜下囊肿的超声诊断及临床结局-尚宁

20156176JClinUltrasoundinMedJune2015Vol.17No.6··、。。。。。。。。。［］R714.53；R445.1［］AUltrasonicdiagnosisandclinicaloutcomeoffetalsubependymalcystsShangNingXiaoZhenZhangYulanGuoYanxiaWangLiminMaXiaoyanDepartmentofUltrasoundGuangdongWomenandChildrenHospitalGuangzhou511400ChinaABSTRACTObjectiveToexploreultrasonicappearance,clinicaloutcomeandprognosisoffetalsubependymalcysts.MethodsSonographicfeaturesandclinicaloutcomein135fetuseswithsubependymalcystswereanalyzedretrospectively.ResultsAllthecystswerelocatedinthelateralregionofanteriorhornoflateralventricleorinthelateralregionbetweenanteriorhornandbodyoflateralventricle.Thecystshadthinwallsandclearboundaries.Forty-onecaseswerelocatedinunilateralventricleand94caseswerelocatedinbilateralventricles.Sixty-onecaseswerecharacterizedbysinglecystand74casesweremultipleorbeadedcysts.Threepregnantwomenhadhypertensivedisordersinpregnancy.Nineteencaseswerefoundwithotherfetalabnormalities.Onehundredandtwocaseswerefollowedupsuccessfullyinwhich4caseshadinducedabortionduetoseveredeformity3casesdeliveredprematurely1casediedafterbirthand2caseswerehealthywhenfollowedup2fetuseswereintrauterinedeath1casewhohadventricularexpansionwasfollowedupto2yearsoldanddevelopmentaldelaywasfound.Therestof92caseswerefollowedupforatleast24monthsafterbirthandallofthemhadahealthyneurologicaldevelopment.ConclusionPrenatalultrasonographycanaccuratelydiagnosefetalsubependymalcysts.Excludingotherrelatedabnormalitiesandmalformationsisolatedsubependymalcystshaveagoodshort-termprognosis.KEYWORDSUltrasonographyFetusSubependymalcystsPrognosis、。24h［1］。。［2-3］。、、、。、201012012813519~422624～4031。45231MRI8224h。10295。33。、1.GEVolusonE8GEVoluson730Expert2.0～5.0MHz6.0～8.0MHzGEVolusoni2.0～5.0MHz12.0MHzMRIGE1.5T。2.。415··DOI:10.16245/j.cnki.issn1008-6978.2015.06.02320156176JClinUltrasoundinMedJune2015Vol.17No.61、、、Blake’sPouchDandy-Walker63331111000011110011000063220000。、、。3.①2②24h③MRI④2Baylay2。、。4130%。61743mm×3mm～23mm×12mm。1～3。3mm×3mm1、23、32.2%1914%610～13mm3334。1。、4534.6。8224h45734。、MRI31MRI、5100%。MRI。、33102。4。3127+234+2。211。113mm2。9224。。MRI、416··20156176JClinUltrasoundinMedJune2015Vol.17No.6A34+B8h4AABMRI534+。。28～32、［1］。。。。［4］。。。［4-5］①②③。64.4%［6-7］33331。Dandy-Walker。4536.7%24h4.9%。。24h。5。MRI。MRI［2］。［3］MRI。、、［4］。。。［8］。。1Cevey-MacherelMForcadaGMBickleGMetal.Neurodevelopmentoutcomeofnewbornswithcerebralsubependymalpseudocystsat18and46monthsaprospectivestudy.ArchDisChild2013987497-502.2MalingerG，LevD，BenSL，etal.Congenitalperiventricularpseudo-cysts：prenatalsonographicappearanceandclinicalimplications.UltrasoundObstetGynecol，2002，20（5）：447-551.3BatsASMolhoMSenatMVetal.Subependymalpseudocystsinthefetalbrainprenataldiagnosisoftwocasesandreviewoftheliterature.UltrasoundObstetGynecol2002205502-505.4WongF，FraserS，KellyE，etal.Clinicalsignificanceofisolatedparaventricularcystsoncranialultrasonography.JPaediatrChildHealth，2004，40（9-10）：552-555.5..2013235675-677.6GuibaudLAttia-SobolJBuenerdAetal.Focalsonographicperiventricularpatternassociatedwithmildventriculomegalyinfoetalcytomegalicinfectionrevealingcytomegalicencephalitisinthethirdtrimesterofpregnancy.PrenatDiagn2004249727-732.7..201334132068-2070.8..20044212913-916.2014-12-14BAB417··