
小于胎龄儿脑岛的测量
Assessment of insular development in small for gestational age infants
目的:探讨小于胎龄儿脑岛发育的状况。方法:通过颅脑超声测量92例小于胎龄儿脑岛面积、周长,并与109例同胎龄正常适于胎龄儿相比较。结果:小于胎龄儿脑岛面积、周长与出生体重、胎龄呈正相关;小于胎龄儿脑岛面积(>37周:451±92 mm2;≤34周:248±78 mm2)、周长(>37周:92±11 mm)与正常同胎龄适于胎龄儿脑岛面积(>37周:516±116 mm2;≤34周:314±80 mm2)、周长(>37周:97±11 mm)比较,差异有显著性意义(P<0.05)。结论:小于胎龄儿脑岛发育成熟欠佳;脑岛的发育可通过颅脑超声测量新生儿脑岛面积、周长予以评价。[中国当代儿科杂志,2009,11(9):733-735]
OBJECTIVE: To study the insular development of small for gestational age (SGA) infants. METHODS: The insular area and circle were measured by cerebral ultrasonography in 92 SGA infants. The results were compared with those from 109 appropriate for gestational age (AGA) infants. RESULTS: The insular area and circle were positively correlated with the birth weight and gestational age in SGA infants. The insular area in SGA infants with a gestational age of either >37 weeks (451±92 mm2 vs 516±116 mm2; P37 weeks was also significantly less than that in the AGA infants (92±11 mm vs 97±11 mm; P<0.05). CONCLUSIONS: The insular development of SGA infants seems to be immature. The insular development may be assessed based on the insular area and circle measured by cerebral ultrasonography.[Chin J Contemp Pediatr, 2009, 11 (9):733-735]
Insular / Ultrasonography / Small for gestational age infant
[1]Peleg D, Kennedy CM, Hunter SK. Zntrauterine growth restriction:identification and management[J].Am FAM Physician, 1998, 58(2):453-460.
[2]胡志英,方马荣,王伊萍,陈丽,吴林珍,李继承.胎盘血管生长因子在妊娠高血压综合征的表达及意义[J].中华围产医学杂志, 2005, 8(2):73-75.
[3]翁梅倩,张伟利,敖黎明,陈冠仪,徐承静,吴圣楣.小于胎龄儿脑发育的随访观察[J].中华围产医学杂志, 2001, 4(2):91.
[4]郑德清,杨耀荣.右侧脑岛皮质梗塞性忽略症[J].河南实用神经疾病杂志, 2001, 4(4):封二.
[5]柏树令,应大君.系统解剖学[M].北京:人民卫生出版社, 2005, 355-367.