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Folien bei [email protected] Pränatal allround 2017 Ultraschallscreening im II. Trimester und Organdiagnostik

Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

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Page 1: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

Folien bei [email protected]

Pränatal allround 2017

Ultraschallscreening im II. Trimester

und Organdiagnostik

Page 2: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

Low-risk Kollektiv 32 %

High risk 61 % Detektion

Page 3: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester
Page 4: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester
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Die „top ten“ bei vitaler 13.SSW

90

91

92

93

94

95

96

97

98

99

100

Schwangerschaften

Aneuplodie

AngeboreneFehlbildungen

Spontane Aborte

Als normalgeboren

Boris Tutschek

www.Praenatal-Zuerich.ch

Page 6: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester
Page 7: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

Neuralrohrdefekte sind 2 x seltener als Herzfehler

Werden aber 5 x häufiger abgebrochen

Page 8: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester
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N.B. IUFT 20 %

Page 11: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

Wenn Bruchpforte

> 5 cm

20-50% IUFT

Page 12: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

d 0 d 0

d 5 d 5

large giant

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N.B. in über 50% Frühgeburt bei bis zu 10 % IUFT

Page 17: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

Komplikationen bei Gastroschisis

Minderperfusion, Volvulus und / oder Strangulation

der prolabierenden Darmanteile

Page 18: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

Inzidenz 1 : 30.000

Page 19: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester
Page 20: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester
Page 21: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester
Page 22: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester

Neuralrohrdefekte sind 2 x seltener als Herzfehler

Werden aber 5 x häufiger abgebrochen

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In 99% der open spina bifida Fälle

Page 32: Ultraschallscreening im II. Trimester und Organdiagnostik ......Ultrasound Obstet Gynecol 2016 Aug 22 doi: 10.1002/uog_17246_ [Epub ahead of print] Systematic review of first trimester
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Weite hintere Schädelgrube, hoch verlagertes Tentorium, Vermis-Agenesie

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Dortmund 2017

Folien bei [email protected]

II + III. Trimester Fetalherz