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- 唇顎裂兒童之親職教育
頁籤選單縮合
題名 | Prenatal Diagnosis and Perinatal Outcome of Facial Clefts=唇顎裂之產前診斷及周產期預後 |
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作者 | 潘以如; 施景中; 李建南; 徐明洸; 華筱玲; 陳皙堯; 謝豐舟; | 書刊名 | Journal of Medical Ultrasound |
卷期 | 6:1 1998.03[民87.03] |
頁次 | 頁31-36 |
分類號 | 417.14 |
關鍵詞 | 唇顎裂; 產前診斷; 周產期預後; Amniocentesis; Facial clefts; Ultrasound; Chromosome aberration; |
語文 | 英文(English) |
英文摘要 | Background: To investigate the perinatal outcome of babies with prenatally diagnosed facial clefts. Materials and Methods: Data from the Perinatal Center of the National Taiwan University Hospital were analyzed. Details of prenatal diagnosis, karyotyping and perinatal outcome were collected from the hospital records and by telephone interview. Results: Between January 1994 and March 1997, 71 fetuses with facial cleft were encountered in the Perinatal Center of the National Taiwan University Hospital. up. In the 49 cases with follow-up, 26 were electively terminated, three resulted in preterm labor and 20 cases were delivered at term. Two intrauterine fetal deaths and two neonatal deaths were noted. Twenty-nine patients accepted amniocentesis after facial clefts were found and chromosome aberrations were detected in four (two trisomy 13, one trisomy 18 and one trisomy 21). Three cases had a positive family history of facial cleft. Conclusion: Facial cleft is one of the most common congenital anomalies amenable to postnatal correction. When a facial cleft is diagnosed prenatally, a careful systemic search for any associated anomalies is indicated. Amniocentesis should be performed for those patients with associated congenital anomalies or a conventional indication for karyotyping. Immediate support and prenatal counseling are extremely helpful in avoiding unnecessary termination of pregnancy. A multidisciplinary cleft lip and palate team should be organized to provide quality care for the unborn child with facial cleft. |
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