Can nuchal cord cause transient increased nuchal translucency thickness?

被引:15
作者
Maymon, R [1 ]
Herman, A [1 ]
Dreazen, E [1 ]
Tovbin, Y [1 ]
Bukovsky, I [1 ]
Weinraub, Z [1 ]
机构
[1] Tel Aviv Univ, Assaf Harofeh Med Ctr, Sackler Fac Med, Dept Obstet & Gynecol, IL-70300 Zerifin, Israel
关键词
Doppler flow; nuchal cord; nuchal translucency; pregnancy; sonography; transient appearance;
D O I
10.1093/humrep/14.2.556
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
When detected in a first trimester scan, an increased thickness of nuchal translucency (NT) may be associated with chromosomal, cardiac or genetic disorders. However, less attention has been devoted to the outcome of those fetuses who have confirmed normal anatomies and karyotyping, but have abnormal first trimester scans. Thus, a challenging new issue is how to counsel such cases of transient increased NT in which the translucency rapidly vanishes with no evidence of other underlying abnormalities. Two cases of transient increased thickness of NT are reported. In both, a nuchal cord was ultrasonographically demonstrated and a thorough work-up revealed chromosomally and anatomically normal fetuses. The pathophysiological theories behind these observations and their significance are discussed. Based on these observations, we suggest that transvaginal sonography combined with Doppler flow studies should be utilized for the presize detection of cord patterns to accomplish the work-up in cases of increased NT.
引用
收藏
页码:556 / 559
页数:4
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