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目的报道并分析1例胎儿颅后窝池增宽的新生儿预后。方法 2011年3月在产科建卡产检发现胎儿颅后窝池增宽的1例孕妇进行定期产前超声检查,动态观察其胎儿颅后窝池宽度的变化,并对新生儿行出生后随访。结果本例孕妇在产前超声检查随访中,其胎儿颅后窝池宽度从孕33周的11 mm增至孕38周的18 mm,出生后其新生儿诊断为颅后窝大枕大池伴小脑半球发育不良。结论产前检查发现胎儿颅后窝池增宽,应进行超声或核磁共振动态随访,注意观察胎儿有无其他部位的结构异常或畸形。同时应重视产前对胎儿小脑发育情况的评估,以便早期诊断处理。
Objective To report and analyze the prognosis of a newborn with a widened posterior cranial fossa. Methods In March 2011, one pregnant woman with fetal widened posterior cranial fossa was found in obstetrics and gynecology card. The prenatal ultrasound was performed to observe the changes of the width of fetal posterior fossa. The newborns were followed up after birth. The results of this case of pregnant women in the prenatal ultrasound follow-up, the fetal posterior fossa width from 11 weeks pregnant 33 weeks to 38 weeks of pregnancy 18 mm, after birth, the newborn was diagnosed as a large posterior cranial fossa with large cerebrospinal Hemispheric dysplasia. Conclusion Prenatal examination found that the widening of posterior fossa of fetal fetus should be followed up by sonography or magnetic resonance imaging. Attention should be paid to the observation of fetal structural abnormalities or deformities in other parts. At the same time should pay attention to prenatal evaluation of fetal cerebrum development for early diagnosis and treatment.