Αξιολόγηση της αυχενικής διαφάνειας και της ανατομίας του εμβρύου στο 1ο τρίμηνο της κύησης με τη χρήση της 2D και 3D υπερηχογραφίας

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Assessment of nuchal translucency thickness and fetal anatomy in the 1st trimester of pregnancy by 2D and 3D ultrasonography: a pilot study
Αξιολόγηση της αυχενικής διαφάνειας και της ανατομίας του εμβρύου στο 1ο τρίμηνο της κύησης με τη χρήση της 2D και 3D υπερηχογραφίας

Hirides, Petros
Χειρίδης, Πέτρος

PhD Thesis

2012


AIM: To evaluate the use of three-dimensional ultrasonography (3D) as an alternative for examining fetal anatomy and nuchal translucency (NT) in the 1(st) trimester of pregnancy. METHOD: Prospective study of 199 low risk pregnant women undergoing 1(st) trimester ultrasound scan for fetal anomalies. The NT and fetal anatomy were evaluated by three-dimensional (3D) ultrasonography after the standard two-dimensional (2D) examination. The gold standard in this study was the 2D ultrasonography. RESULTS: In some of the evaluated parameters the 3D method approaches the conventional 2D results. These parameters are the crown-rump length (CRL), the skull - brain anatomy (93.5%), the spine (85.4%), the upper (88.4%) and lower limbs (87.9%) and the examination of the fetal abdomen (98.5%). Some of the anatomic parameters under evaluation revealed a statistically significant difference in favor of the 2D examination. During the 3D examination the nasal bone was identified in 62.1% of the cases, the stomach in 85.9%, and the urinary bladder in 57.3% of the cases. The NT was assessed accurately in half of the cases compared to 2D examination. CONCLUSION: The 3D ultrasound is insufficient for the detailed fetal anatomy examination during the 1(st) trimester of pregnancy. Nevertheless, the method might be improved in order to be considered as a screening method.

Ιατρική και Επιστήμες Υγείας ➨ Κλινική Ιατρική

Αυχενική διαφάνεια
Clinical Medicine
Medical and Health Sciences
Εξέταση Α' τριμήνου
1st trimester scan
Nuchal translucency
3D ultrasonography
Κλινική Ιατρική
3D fetal examination
Ιατρική και Επιστήμες Υγείας
3D υπερηχογραφία
3D απεικόνιση εμβρύου

Greek

National and Kapodistrian University of Athens
Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)

Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής. Τομέας Υγείας Μητέρας και Παιδιού. Κλινική Α' Μαιευτική και Γυναικολογική




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