Медицинская литература. Новинки

 

 

 

 

 

 

Международные рекомендации по диагностике и тактике ведения беременности при изолированной умеренной вентрикуломегалии у плода

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Целью статьи является анализ совре% менных данных о диагностике, тактике ведения беременности и исходах при изолированной умеренной вентрикуломегалии у плода. Диагноз “умеренная вентрикуломегалия” устанавливается при размерах преддверия заднего рога бокового желудочка от 10 до 15 мм. При отсутствии какихлибо сочетанных пороков развития вентрикуломегалия считается изолированной. Наиболее значимыми факторами при оценке риска развития неврологических осложнений являются сочетание вентрикуломегалии с другими пороками развития и прогрессирование вентрикуломегалии при ультразвуковом исследовании в динамике. Частота неврологических осложнений при пренатальном выявлении изолированной умеренной вентрикуломегалии составляет около 11%. Около 90% детей при подтвержденной изолированной умеренной вентрикуломегалии имеют такие же показатели неврологического и психомоторного развития, как их сверстники с нормальными размерами боковых желудочков.

Ключевые слова:
ультразвуковое исследование плода, центральная нервная система, умеренная изолированная вентрикуломегалия.

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International Guidelines on Diagnosis and Management of Pregnancy with Fetal Isolated Mild Ventriculomegaly

The purpose of this article is to provide up%to%date and evidence%based information regarding the diagnosis of isolated mild fetal ventriculomegaly. Fetal mild ventriculomegaly is commonly defined as a ventricular atrial width of 10–15 mm, and it is considered isolated if there are no associated ultrasound abnormalities. The most important prognostic factors are the association with other abnormalities and the progression of ventricular dilatation. Most infants with a prenatal diagnosis of isolated mild ventriculomegaly have normal neurological development at least in infancy. The rate of abnormal or delayed neurodevelopment in infancy is about 11%. About 90% of children with confirmed isolated mild ventriculomegaly have same neurologic and psychomotor development characteristics as the children of the same age.

Keywords:
fetal ultrasound examination, central nervous system, and isolated mild ventriculomegaly.