RESULTS OF KARYOTYPING AND OUTCOME OF PREGNANCY IN FETUSES IDENTIFYING CYSTIC NECK HYGROMA

It was performed the comparison of results of ultrasound (US), cystic hygroma of the neck of the fetus (heavy tires) with verified outcomes in 395 pregnant women who were diagnosed with heavy tires. Showed a tendency to increase the detection rate of heavy tires per 1000 live births in recent years. It is shown that more than 60% of cases are diagnosed in the screening of heavy tires as possible prenatal diagnosis. A normal karyotype was detected in 43,2% of cases (115 fetuses), from this group, almost half of children are born healthy - 54 people, accounting for 47%. The group of newborns whose condition differed from the absolute health, was 16,4% (19 children requiring treatment of heavy tires or comorbidities). At the request of the woman, the diagnosis of heavy tires in the fetus pregnancy was terminated in 26,1% of cases (30 fetus), normal karyotype was diagnosed after abortion. Fetal death was noted in 3,5% of cases (4 fetus), postnatal death ascertained in 7% of cases (8 fetus). Thus, detection of heavy tires neck of the fetus is not an absolute indication for abortion, but when it is detected, there is a high probability of fetal chromosomal disorders, combined malformations or spontaneous abortion. The most common chromosomal disorders in the presence of a cystic hygroma of the neck of the fetus is Turner syndrome. It is shown that the factors that reduce the likelihood of a favorable outcome of pregnancy in cystic hygroma of the neck of the fetus are larger sizes hygroma, mix it with generalized edema, the presence of other structural abnormalities of the fetus.

кистозная гигрома шеи, ультразвуковое исследование, врожденные пороки развития, исходы беременности, кариотип, cystic hygroma of the neck, ultrasound, congenital malformations, pregnancy outcomes, karyotype

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