1. 海南省人民医院//海南医学院附属海南医院超声科,海南,海口,570311
2. 中山大学附属第一医院超声医学科,广东,广州,510080
网络首发:2020-09-11,
纸质出版:2020
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石莉, 符小艳, 王丽, 等. 正常与宫内生长受限胎儿神经系统发育产前超声监测[J]. 中山大学学报(医学科学版), 2020,41(5).
SHI Li, FU Xiao-Yan, WANG Li, et al. Prenatal Evaluation of the Development of Nervous System in Fetuses with Fetal Growth Restriction by Using Three-dimensional Ultrasound[J]. Journal of Sun Yat-sen University (Medical Sciences), 2020, 41(5).
石莉, 符小艳, 王丽, 等. 正常与宫内生长受限胎儿神经系统发育产前超声监测[J]. 中山大学学报(医学科学版), 2020,41(5). DOI:
SHI Li, FU Xiao-Yan, WANG Li, et al. Prenatal Evaluation of the Development of Nervous System in Fetuses with Fetal Growth Restriction by Using Three-dimensional Ultrasound[J]. Journal of Sun Yat-sen University (Medical Sciences), 2020, 41(5). DOI:
【目的】应用产前三维超声分析正常胎儿大脑发育规律,并评估宫内生长受限胎儿其神经系统的发育状况。【方法】选取 2017 年 6 月 1 日至 2018 年 12 月 31 日在我院行产前超声检查的病例。所有病例按照胎儿估计体质量是否在正常范围分为两组:正常组和胎儿宫内生长受限(FGR)组(胎儿估计体质量低于同孕周第 5 百分位数),并按照不同孕周分析胎儿大脑外侧裂、顶枕沟及距状沟深度的变化规律。比较正常胎儿和 FGR胎儿其大脑外侧裂、顶枕沟及距状沟深度在两组间的差异。【结果】研究期间,共纳入正常胎儿组 386 例,FGR胎儿组 64 例。正常组胎儿孕周中位数 25(22~29)周;FGR 组胎儿孕周中位数 28(26~30)周。应用线性回归分析显示大脑外侧裂、顶枕沟及距状沟的深度与孕周呈正相关,且一次方程拟合度最高。与正常胎儿相比,FGR组胎儿其大脑外侧裂、顶枕沟及距状沟深度的差异均具有统计学意义。【结论】大脑外侧裂、顶枕沟及距状沟的深度随孕周变化而变化。FGR 胎儿其大脑实质产前发育较正常胎儿迟缓,出生后需尽早进行干预及康复治疗。
【Objective】To evaluate the development of fetal nervous system by using three- dimensional ultrasound and to compare the difference between normal fetuses and fetuses with growth restriction.【Methods】Fetuses that under⁃ went prenatal ultrasound screening between June 1st 2017 and December 31st 2018 were included. All the cases were divided into two groups according to the estimated weight of the fetus:the normal group and the FGR group(the estimated weight less than 5 percent of the gestational week). The development of fetal sylvian fissure,parietoocipital sulcus and calcarine sulcus were analyzed according to gestational week. The depth of fetal sylvian fissure ,parietoocipital sulcus and calcarine sulcus were compared between normal fetuses and the fetuses with growth restriction. 【Results】During the study period, 386 normal fetuses and 64 fetuses with growth restriction were included. The median gestational week in normal group was 25+2(22+5~29+1)weeks and the median gestational week in FGR group was 28+2(26+2~30+5)weeks. The depth of fetal sylvian fissure,parietoocipital sulcus and calcarine sulcus had a linear positive correlation with gestational week. The depth of fetal sylvian fissure,parietoocipital sulcus and calcarine sulcus were significantly different between normal fetuses and fetuses with growth restriction.【Conclusions】The depth of fetal sylvian fissure parietoocipital sulcus and calcarine sulcus varies according to gestational week. Fetal brain parenchyma may be mal-developed in FGR fetuses , so intervention and rehabilitation need to be carried out after birth.
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