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| 胎儿先天性白内障产前超声诊断及研究分析 | |
| 引用本文： | 郭家菊,秦越,李胜利. 胎儿先天性白内障产前超声诊断及研究分析[J]. 中华医学超声杂志(电子版), 2021, 18(3): 285-289. DOI: 10.3877/cma.j.issn.1672-6448.2021.03.008 |
| 作者姓名： | 郭家菊 秦越 李胜利 |
| 作者单位： | 1. 518000 深圳仁爱医院超声科2. 518028 南方医科大学附属深圳妇幼保健院超声科 |
| 基金项目： | 国家自然科学基金(81771598) |
| 摘 要： | 目的 探讨先天性白内障超声影像学分类特征,并对先天性白内障胎儿的临床结局进行研究.方法 对2017年1月至12月在深圳仁爱医院产前筛查发现先天性白内障4例胎儿的超声影像分类特征及临床结局进行研究分析.结果 产前超声提示:4例胎儿中1例晶状体呈完全性高回声,为1型先天性白内障;1例晶状体内呈点状高回声,为2型先天性白内障... |
| 关 键 词： | 超声检查,产前 先天性白内障 病因学 生后结局 |
| 收稿时间： | 2019-11-20 |
Prenatal ultrasound diagnosis and literature analysis of fetal congenital cataract |
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| Jiaju Guo,Yue Qin,Shengli Li. Prenatal ultrasound diagnosis and literature analysis of fetal congenital cataract[J]. Chinese Journal of Medical Ultrasound, 2021, 18(3): 285-289. DOI: 10.3877/cma.j.issn.1672-6448.2021.03.008 | |
| Authors: | Jiaju Guo Yue Qin Shengli Li |
| Affiliation: | 1. Department of Ultrasound, Shenzhen Renai Hospital, Shenzhen 518000, China2. Department of Ultrasound, Affiliated Shenzhen Maternity & Child Healthcare Hospital, Southern Medical University, Shenzhen 518028, China |
| Abstract: | ObjectiveTo investigate the classification of congenital cataract, and to analyze the clinical outcome of congenital cataract. MethodsSonographic features and clinical outcomes of four cases of congenital cataract diagnosed by prenatal ultrasound at Shenzhen Renai Hospital between January and December 2017 were analyzed. ResultsPrenatal ultrasound indicated that one of the four cases had dense echogenic structure, which was type 1. One case of type 2 presented hyperechogenic spot in the lens. The "double ring" sign was found in 2 cases, which was type 3. Three cases were isolated cataract, and of which maternal TORCH screens were negative. One case was associated with cerebellar hemorrhage and fetal anemia, and umbilical cord blood test of rubella virus (IgM) was positive after induced labor. Clinical outcomes: the pregnancy was terminated in 2 cases, 1 case refused follow-up, and 1 case died after birth due to intrauterine hypoxia. ConclusionCongenital cataract is an abnormal disease of lens development. Prenatal ultrasound presents dense echogenic structure, hyperechogenic spot or "double ring" sign in the lens. Combined with detailed anatomical and etiological examination, it can provide more information for prenatal consultation and early referral and intervention treatment of congenital cataract after birth. |
| Keywords: | Ultrasonography prenatal Congenital cataract Etiology Postnatal outcome |
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