Routine obstetrical ultrasound at 18-22 weeks: our experience on 7,236 fetuses
Φόρτωση...
Ημερομηνία
Συγγραφείς
Stefos, T.
Plachouras, N.
Sotiriadis, A.
Papadimitriou, D.
Almoussa, N.
Navrozoglou, I.
Lolis, D.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
J Matern Fetal Med
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
OBJECTIVE: This study aimed at examining the detection rate of congenital abnormalities by using routine ultrasonography at 18-22 weeks of gestation. METHODS: The sample included 7,236 fetuses. A detailed sonographic examination was performed in each fetus and a neonatal evaluation or pathology examination was made to confirm the prenatal findings. RESULTS: The total prevalence of fetal abnormalities in our sample was 2.24% (162/7,236). There were 29/162 (17.9%) fetuses with CNS abnormalities, 27/162 (16.7%) fetuses with gastrointestinal abnormalities, and 28/162 (17.3%) fetuses with urinary tract abnormalities. There were also 31/162 (19.1%) fetuses with cardiovascular abnormalities, 26/162 (16.0%) with malformation of the limbs and musculoskeletal system, and 21/162 (13%) fetuses with other various abnormalities. The overall sensitivity in detecting fetuses with congenital abnormalities was 80.25% (130/162). The sensitivity per system was 93.1% (27/29) for CNS, 45.2% (14/31) for cardiovascular system, 85.2% (23/27) for gastrointestinal system, 85.7% (24/28) for urinary system, 84.6% (22/26) for musculoskeletal system, and 95.2% (20/21) for the rest of the abnormalities detected. We performed 40 pregnancy terminations in the group of malformed fetuses. Among the fetuses considered as normal, 1.7% had chromosomal abnormalities. CONCLUSIONS: The results indicate that routine sonographic examination at 18-22 weeks of gestation can detect the majority of congenital abnormalities. More experience is needed for the examination of the cardiovascular system, where the sensitivity was particularly low (14/31 or 45.2%).
Περιγραφή
Λέξεις-κλειδιά
Central Nervous System/abnormalities, Congenital Abnormalities/diagnosis/epidemiology/ultrasonography, Digestive System Abnormalities, Female, *Gestational Age, Heart Defects, Congenital/epidemiology/ultrasonography, Humans, Limb Deformities, Congenital/epidemiology/ultrasonography, Musculoskeletal Abnormalities/epidemiology/ultrasonography, Pregnancy, Sensitivity and Specificity, *Ultrasonography, Prenatal, Urinary Tract/abnormalities
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/10090494
http://onlinelibrary.wiley.com/store/10.1002/(SICI)1520-6661(199903/04)8:2<64::AID-MFM7>3.0.CO;2-D/asset/7_ftp.pdf?v=1&t=h0kwxhk0&s=bd5fc9da6c3eed2916512b8943000fab6855e663
http://onlinelibrary.wiley.com/store/10.1002/(SICI)1520-6661(199903/04)8:2<64::AID-MFM7>3.0.CO;2-D/asset/7_ftp.pdf?v=1&t=h0kwxhk0&s=bd5fc9da6c3eed2916512b8943000fab6855e663
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής