Assessment of lower limb trophism in fetuses with open spina bifida using fractional thigh volume of three‐dimensional ultrasound

Autor: Hérbene José Figuinha Milani, Enoch Quinderé de Sá Barreto, Edward Araujo Júnior, Sérgio Cavalheiro, Maurício Mendes Barbosa, Alberto Borges Peixoto, Antonio Fernandes Moron
Rok vydání: 2022
Předmět:
Zdroj: Journal of Clinical Ultrasound. 51:409-414
ISSN: 1097-0096
0091-2751
DOI: 10.1002/jcu.23364
Popis: To assess the trophism of the lower limbs of fetuses with open spina bifida using fractional thigh volume (TVOL) of three-dimensional (3D) ultrasound.A prospective cross-sectional study was carried out with normal fetuses and with open spina bifida (myelomeningocele and rachischisis) at 26 weeks' gestation. The TVOL (delimitation of five cross-sectional areas of the middle portion of the limb) was evaluated, as well as the subjective assessment of hypotrophy and lower limb movement.Thirty-one fetuses with open spina bifida, 21 with myelomeningocele and 10 with rachischisis, and 51 normal fetuses were included. There were no significant differences in the TVOL between normal and spina bifida fetuses (p = 0.623), as well as between normal fetuses, with myelomeningocele and with rachischisis (p = 0.148). There was no significant difference in the TVOL of fetuses with spina bifida with or without lower limb hypotrophy (p = 0.148). Fetuses with spina bifida and with lower limb movement had higher TVOL values than fetuses without lower limb movement (p = 0.002).There were no significant differences in the TVOL measurement of normal and spina bifida fetuses (rachischisis and myelomeningocele). Fetuses with spina bifida without spontaneous movement of the lower limbs had lower TVOL values.
Databáze: OpenAIRE
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