HOW ANTENATAL ULTRASOUND DIAGNOSIS OF CONGENITAL-MALFORMATIONS HAS CONTRIBUTED TO FETAL-OUTCOME - A 22-YEAR REVIEW

被引：5

作者：

HORI, E ^{[1
]}

KOYANAGI, T ^{[1
]}

YOSHIZATO, T ^{[1
]}

MAEDA, H ^{[1
]}

SATOH, S ^{[1
]}

SUITA, S ^{[1
]}

UEDA, K ^{[1
]}

NAKANO, H ^{[1
]}

机构：

[1] KYUSHU UNIV 60,FAC MED,DEPT GYNECOL & OBSTET,MAIDASHI 3-1-1,HIGASHI KU,FUKUOKA 812,JAPAN

来源：

FETAL DIAGNOSIS AND THERAPY | 1993年 / 8卷 / 06期

关键词：

CONGENITAL MALFORMATIONS; ANTENATAL DIAGNOSIS; OUTCOME; HUMAN FETUS; ULTRASONOGRAPHY;

D O I：

10.1159/000263857

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We herein reviewed 630 malformed fetuses delivered from 24 weeks of gestation onwards in our institute over the past 22 years. These fetuses were divided into 2 groups: 210 from 1970 to 1982 (group 1) and 420 from 1983 to 1991 (group 2). Twenty-two varieties of congenital malformations were diagnosed antenatally in group 1, whereas 55 additional malformations became diagnosable in group 2. Thirty-four varieties of congenital malformations still remained undiagnosed throughout the 22-year study period. Cases receiving 'fetal therapy' and 'close obstetric care' increased, with statistical significance, from 1.8 to 15.7%, and from 22.9 to 55.7% in groups 1 and 2, respectively. A significant increase was also noted in the survival rate from group 1 (63.3%: 105/166) to group 2 (75.5%: 259/343). This study has revealed that the steady advancement in antenatal diagnosis of congenital malformations, along with great efforts in terms of intensive care, has contributed to improved fetal outcome.

引用

页码：388 / 401

页数：14

共 24 条

[1]

Children & Families Bureau, Ministry of Health and Welfare, Maternal and Child Health Statistics of Japan, (1991)

[2]

Garret W.J., Grunwald G., Robinson D.E., Prenatal diagnosis of fetal polycystic kidney by ultrasound, Aust NZ J Obstct Gynaecol, 10, pp. 7-9, (1970)

[3]

Campbell S., Johnstone F.D., Holt E.M., May P., Anencephaly: Early ultrasonic diagnosis and active management, Lancet, 2, pp. 1226-1227, (1972)

[4]

Christ J.E., Meininger M.G., Ultrasound diagnosis of cleft lip and cleft palate before birth, Plast Rcconstr Surg, 68, pp. 854-859, (1981)

[5]

Jeanty P., Romero R., D'alton M., Venus I., Hobbins J.C., In utero sonographic detection of hand and foot deformities, J Ultrasound Med, 4, pp. 595-601, (1985)

[6]

Maeda H., Shimokawa H., Nakano H., Effects of intrauterine treatment on nonimmunologic hydrops fetalis, Fetal Ther, 3, pp. 198-209, (1988)

[7]

Koyanagi T., Hara K., Satoh S., Nakano H., Developmental characteristics of fetal arrhythmias during the period from intrauterine to early extrauterine life assessed using dual echocardiography, Int J Gynaecol Obstet, 28, pp. 13-30, (1989)

[8]

Koyanagi T., Hara K., Satoh S., Yo-Shizato T., Nakano H., Relationship between heart rate and rhythm, and cardiac performance assessed in the human fetus in utero, Int J Cardiol, 28, pp. 163-171, (1990)

[9]

The International Classification of Diseases, Clinical Modification, (1978)

[10]

Romero R., Pilu G., Jeanty P., Ghid-Ini A., Hobbins J.C., Prenatal Diagnosis of Congenital Anomalies, (1988)

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