超声诊断胎儿脉络丛囊肿的临床意义探讨  

The clinical significance of ultrasound diagnosis of fetal choroid plexus cysts

作　　者：师莉莉[1] 赵华巍[1] 张利[1] 周秀云[1] 李晓君[1] 王树玉[2] 

机构地区：[1]北京市海淀区妇幼保健院,100080 [2]首都医科大学附属北京妇产医院

出　　处：《北京医学》2015年第7期647-649,共3页Beijing Medical Journal

摘　　要：目的探讨胎儿脉络丛囊肿对妊娠结局及临床预后的影响,为产前诊断提供更大帮助。方法分析2011年1月至2014年3月在我院确诊的220例脉络丛囊肿胎儿的超声表现及相关临床资料。结果 220例脉络丛囊肿胎儿中,双侧77例,占35%;单侧143例,占65%。胎儿孤立性脉络丛囊肿199例随访未发现异常;胎儿复杂性脉络丛囊肿21例,其中6例染色体核型异常,5例为18-三体,1例为21-三体。结论临床应对超声诊断复杂性脉络丛囊肿者在孕中期行胎儿染色体核型检查;对孤立性脉络丛囊肿可不干预。Objective To explore the significance and prognosis of ultrasonic diagnosis of fetal choroid plexus cyst, and provide basis for clinical prenatal diagnosis. Methods The ultrasound appearances and related clinical manifestation of the 220 fetus with choroid plexus cysts in our hospital were retrospectively analyzed. Results A total of 199 fetuses with isolated choroid plexus cysts were found to have no abnormalities after birth. Six of the 21 fetuses with complicated choroid plexus cysts were found with chromosomes karyotype abnormalities. Conclusion The isolated choroid plexus cyst has no clinical relations to abnormal chromosomes. However, the risk of chromosome abnormalities is much higher when combined with complicated choroid plexus cyst, so chromosomes karyotype analysis should be performed.

关 键 词：胎儿 脉络丛囊肿 染色体异常 超声 

分 类 号：R714.5[医药卫生—妇产科学]