4D assessment of fetal facial expression during the latter stages of the second trimester.

4D assessment of fetal facial expression during the latter stages of the second trimester.
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妊娠中期后期胎儿面部表情的 4D 评估。

DOI:
10.1016/j.ijgo.2013.01.018
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发表时间:
2013
影响因子:
3.8
通讯作者:
Hata T.
Hata T.
中科院分区:
医学4区
文献类型:
--
作者:
Kanenishi K;Hanaoka U;Noguchi J;Marumo G;Hata T.

文献摘要

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目的评价妊娠25 ~ 27周胎儿面部表情的4D超声频率。方法对24例正常胎儿进行4D超声检查。每个胎儿的面部连续记录15分钟。研究人员评估了她们吐舌、打哈欠、吸吮、张嘴、眨眼、皱眉和微笑的频率,并将其与之前一项研究中妊娠28-34周的观察结果进行了比较。结果25 ~ 27周时最常见的面部表情为“嘴”;口部表情频率显著高于其他6种面部表情(P< 0.05)。除嘴部表情外,打哈欠的频率显著高于其他面部表情(P< 0.05)。在25-27周和28-34周之间,打哈欠、微笑、吐舌、吸吮、眨眼频率差异有统计学意义(P< 0.05)。结论面部表情可作为妊娠中期至晚期胎儿神经发育正常的指标。4D超声可能是评估妊娠期胎儿神经行为发育的一种有价值的工具。
ObjectiveTo assess the frequency of fetal facial expressions at 25–27 weeks of gestation using 4D ultrasound.MethodsTwenty‐four normal fetuses were examined using 4D ultrasound. The face of each fetus was recorded continuously for 15 minutes. The frequencies of tongue expulsion, yawning, sucking, mouthing, blinking, scowling, and smiling were assessed and compared with those observed at 28–34 weeks of gestation in a previous study.ResultsMouthing was the most common facial expression at 25–27 weeks of gestation; the frequency of mouthing was significantly higher than that of the other 6 facial expressions (P< 0.05). Yawning was significantly more frequent than the other facial expressions, apart from mouthing (P< 0.05). The frequencies of yawning, smiling, tongue expulsion, sucking, and blinking differed significantly between 25–27 and 28–34 weeks (P< 0.05).ConclusionThe results indicate that facial expressions can be used as an indicator of normal fetal neurologic development from the second to the third trimester. 4D ultrasound may be a valuable tool for assessing fetal neurobehavioral development during gestation.