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
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
收藏
页码:388 / 401
页数:14
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