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Early sonographic diagnosis of amniotic band syndrome at 11-14 weeks′gestation / 中华超声影像学杂志
Chinese Journal of Ultrasonography ; (12): 521-524, 2019.
Article in Chinese | WPRIM | ID: wpr-754837
ABSTRACT
To investigate the prenatal sonographic feature in the early diagnosis of amniotic band syndrome at 11 -14 weeks′ gestation . Methods A retrospective study was conducted to analysis and summarize the ultrasonographic features of 4 fetuses without band‐like echoes in amniotic cavity at 11-14 weeks′gestation ,but verified as amniotic band syndrome in Peking Union M edical College Hospital . Results T wo cases ( cases 1 ,2) showed the fixed head position with skull defect and intracranial structure disorders . Cases 3 and 4 showed one upper limb in a fixed position ,and the hand seemed to adhere to the umbilical cord isolatedly . In addition ,case 1 showed complete chorioamniotic membrane separation . T here were multiple band‐like echoes adhered to body of 3 fetals during the follow‐up scan at 14 -18 weeks . T he parents of cases 1 and 2 chose to terminate the pregnancy after counseling ,the other 2 cases also induced labor due to intrauterine fetal death at 15+2 weeks and 19+2 weeks respectively . All 4 cases were confirmed as amniotic band syndrome by pathology . Conclusions When the fetal sonographic images showed fixed head position ,disordered intracranial structure ,or adhesion between umbilical cord and hand with limited movement at 11 -14 weeks′ gestation ,it should be paid attention to observing the band‐like echoes and followed up closely to prevent missed diagnosis of amniotic band syndrome .

Full text: Available Index: WPRIM (Western Pacific) Type of study: Diagnostic study / Observational study / Screening study Language: Chinese Journal: Chinese Journal of Ultrasonography Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Diagnostic study / Observational study / Screening study Language: Chinese Journal: Chinese Journal of Ultrasonography Year: 2019 Type: Article