Fetal short femur length in the second trimester and the outcome of pregnancy

被引:38
作者
Todros, T
Massarenti, I
Gaglioti, P
Biolcati, M
Botta, G
De Felice, C
机构
[1] Univ Turin, Unita Med Materno Fetale, Dipartimenot Ostet & Ginecol, I-10126 Turin, Italy
[2] Azienda Osped OIRM S Anna, Dept Pathol, Turin, Italy
[3] Azienda Osped Univ Senese, Neonatal Intens Care Unit, Siena, Italy
关键词
D O I
10.1046/j.1471-0528.2003.00015.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We reviewed 86 consecutive cases with fetal femur length (FL) below the 10th centile of our reference ranges at midtrimester ultrasonography. Three groups were identified based on perinatal outcome: normal infants (n = 28), newborns with structural and/or chromosomal anomalies (n = 40), small-for-gestational age (SGA) newborns (n = 18). Fetuses with skeletal dysplasias (n = 13) had significantly shorter FL. Aneuploidies were only found in fetuses with malformations other than skeletal dysplasias. The diagnosis of SGA, based on ultrasound abdominal circumference measurement <10th centile, was made 9 weeks (range 5-14) after the finding of a short FL. Half of these cases also developed pre-eclampsia.
引用
收藏
页码:83 / 85
页数:3
相关论文
共 10 条
[1]  
BOWER S, 1993, OBSTET GYNECOL, V82, P78
[2]   The genetic sonogram - A method of risk assessment for Down syndrome in the second trimester [J].
Bromley, B ;
Lieberman, E ;
Shipp, TD ;
Benacerraf, BR .
JOURNAL OF ULTRASOUND IN MEDICINE, 2002, 21 (10) :1087-1096
[3]   Longitudinal distance standards of fetal growth [J].
Di Battista, E ;
Bertino, E ;
Benso, L ;
Fabris, C ;
Aicardi, G ;
Pagliano, M ;
Bossi, A ;
de Biasio, P ;
Milani, S .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2000, 79 (03) :165-173
[4]   USEFULNESS OF A SHORT FEMUR IN THE INUTERO DETECTION OF SKELETAL DYSPLASIAS [J].
KURTZ, AB ;
NEEDLEMAN, L ;
WAPNER, RJ ;
HILPERT, P ;
KUHLMAN, K ;
BURNS, PN ;
FELD, RI ;
MITCHELL, DG ;
SEGAL, S ;
BLUM, L ;
BERKEY, H ;
GOLDBERG, BB .
RADIOLOGY, 1990, 177 (01) :197-200
[5]  
Parazzini F, 1991, Ann Ostet Ginecol Med Perinat, V112, P203
[6]   Body proportionality of the small-for-date fetus: Is it related to aetiological factors? [J].
Todros, T ;
Plazzotta, C ;
Pastorin, L .
EARLY HUMAN DEVELOPMENT, 1996, 45 (1-2) :1-9
[7]   Accuracy of the umbilical arteries Doppler flow velocity waveforms in detecting adverse perinatal outcomes in a high-risk population [J].
Todros, T ;
Ronco, G ;
Fianchino, O ;
Rosso, S ;
Gabrielli, S ;
Valsecchi, L ;
Spagnolo, D ;
Acanfora, L ;
Biolcati, M ;
Segnan, N ;
Pilu, GL .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1996, 75 (02) :113-119
[8]  
Vergani P, 2000, PRENATAL DIAG, V20, P210, DOI 10.1002/(SICI)1097-0223(200003)20:3<210::AID-PD784>3.0.CO
[9]  
2-4
[10]   Shortened fetal long bones:: a possible in utero manifestation of placental function [J].
Zalel, Y ;
Lehavi, O ;
Schiff, E ;
Shalmon, B ;
Cohen, S ;
Schulman, A ;
Achiron, R .
PRENATAL DIAGNOSIS, 2002, 22 (07) :553-557