Nasal bone evaluation in fetuses with Down syndrome during the second and third trimesters of pregnancy.

作者: Wesley Lee , Greggory R. DeVore , Christine H. Comstock , Karim D. Kalache , Beverley McNie

DOI: 10.7863/JUM.2003.22.1.55

关键词:

摘要: Objective. This study examined the use of three-dimensional ultrasonography for evaluating fetal nasal bone, as a sonographic marker Down syndrome, during second and early third trimesters pregnancy. Methods. Forty fetuses, including 20 with trisomy 21, were scanned once by threedimensional ultrasonography. A midline sagittal view facial profile was used to analyze volume data. Independent examiners reviewed blinded randomly allocated data sets bone. Interobserver reliability evaluated presence or absence Logistic regression determined contribution this parameter syndrome. Results. Both showed substantial agreement in scoring whether bone visualized (P < .001). They identified 40% 45% fetuses abnormalities using marker. However, number also found have present. The 80% 90% without abnormalities. Conclusions. Three-dimensional can be evaluate interobserver nonvisualized syndrome study. Key words: fetus; bone; prenatal diagnosis; ultrasonography; 21.

参考文章(13)
M Sandikcioglu, I Kjaer, K Mølsted, The prenatal development of the human nasal and vomeral bones. Journal of Craniofacial Genetics and Developmental Biology. ,vol. 14, pp. 124- 134 ,(1994)
G. R. DeVore, Trisomy 21: 91% detection rate using second-trimester ultrasound markers. Ultrasound in Obstetrics & Gynecology. ,vol. 16, pp. 133- 141 ,(2000) , 10.1046/J.1469-0705.2000.00203.X
Beryl R. Benacerraf, Thomas D. Shipp, Second trimester ultrasound screening for chromosomal abnormalities. Prenatal Diagnosis. ,vol. 22, pp. 296- 307 ,(2002) , 10.1002/PD.307
Rebecca Smith-Bindman, Wylie Hosmer, Vickie A. Feldstein, Jonathan J. Deeks, James D. Goldberg, Second-Trimester Ultrasound to Detect Fetuses With Down Syndrome JAMA. ,vol. 285, pp. 1044- 1055 ,(2001) , 10.1001/JAMA.285.8.1044
A VINTZILEOS, W CAMPBELL, J RODIS, E GUZMAN, J SMULIAN, R KNUPPEL, The use of second-trimester genetic sonogram in guiding clinical management of patients at increased risk for fetal trisomy 21 Obstetrics & Gynecology. ,vol. 87, pp. 948- 952 ,(1996) , 10.1016/0029-7844(96)00053-1
W.A. Frostad, J.F. Cleall, L.C. Melosky, Craniofacial complex in the trisomy 21 syndrome (Down's syndrome). Archives of Oral Biology. ,vol. 16, pp. 707- 722 ,(1971) , 10.1016/0003-9969(71)90116-6
Noelle Stempfle, Yolene Huten, Catherine Fredouille, Herve Brisse, C. Nessmann, Skeletal abnormalities in fetuses with Down's syndrome: a radiographic post-mortem study. Pediatric Radiology. ,vol. 29, pp. 682- 688 ,(1999) , 10.1007/S002470050675
Jorge Orlando Guerrissi, Congenital absence of nasal bones. Annals of Plastic Surgery. ,vol. 30, pp. 260- 263 ,(1993) , 10.1097/00000637-199303000-00011
Jiri D. Sonek, Kypros H. Nicolaides, Prenatal ultrasonographic diagnosis of nasal bone abnormalities in three fetuses with Down syndrome American Journal of Obstetrics and Gynecology. ,vol. 186, pp. 139- 141 ,(2002) , 10.1067/MOB.2002.119082