Clinical significance of ultrasonic detection of fetal nuchal fold thickening in screening trisomy 21 during the second trimester

Yu Ping Pan, Ai Lu Cai, Chong Qiao, Hong Bo Guan, Li Zhi Wang, Yue Ping Wang, Yi Li Zhao, Li Mei Xie, Xiao Guang Wang, Wei Sun

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To investigate the significance of ultrasonic detection of fetal nuchal fold (NF) thickening in screening trisomy 21 during the second trimester. Methods: Amniocentesis and cordocentesis were performed in pregnant women with indications of prenatal diagnosis, and the chromosome karyotype analysis was performed. The detection rate of trisomy 21 in fetus with ultrasonic manifestation of NF thickening was calculated. Meanwhile, the relationship between fetal NF thickening and the occurrence of trisomy 21 was observed. Results: The chromosome karyotype analysis of the pregnant women who underwent amniocentesis showed that there were 18 fetus with NF thickening. Trisomy 21 was found in 5 fetus among them, the detection rate was 27.78%. The detection rate of trisomy 21 detected hinted by fetal NF thickening was higher than that of other abnormal ultrasonic manifestations (P=0.015). The chromosome karyotype analysis of the pregnant women who underwent cordocentesis showed that there were 12 fetus with NF thickening, among which 1 of trisomy 21 was detected, the detection rate of trisomy 21 was 8.33%. Conclusion: Fetal NF thickening is an effective soft marker of ultrasonography in screening trisomy 21 during the second trimester.

Original languageEnglish
Pages (from-to)2334-2337
Number of pages4
JournalChinese Journal of Medical Imaging Technology
Volume26
Issue number12
StatePublished - Dec 2010
Externally publishedYes

Keywords

  • Amniocentesis
  • Cordocentesis
  • Down syndrome
  • Fetus
  • Karyotyping
  • Ultrasonography, prenatal

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