2006-2018年乌克兰西部利沃夫地区新生儿先天性耳部畸形

Kitsera Nataliya
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摘要

目的耳的先天性畸形通常分别发生在外耳、中耳或内耳,也可同时发生。我们确定了乌克兰西部利沃夫地区新生儿(2006-2018年)的生殖耳异常(CEA)。方法对13年来14例经CEA产科医院报告诊断的新生儿进行分析。结果研究期间(2006-2018年)共报告出生366 147例,出生缺陷新生儿8634例,CEA 14例,平均发病率0.4 / 10000例。我们的研究包括10名男孩和4名女孩的CEA。男女比例为2.5:1。患有耳部病变的新生儿数量,城市是农村的1.8倍。最常见的耳出生缺陷为Q16.1外耳道先天性缺失、闭锁、狭窄- 4(28.6%)和Q16.9 CEA所致听力损害,未明确- 4(28.6%),其中以右侧耳道最为常见。微标准(Q17.2)极少满足-1(7.1%),其他CEA Q16.9-1(7.1%)。本组患者仅出现躁狂症2例,小症1例。本镇男童双侧CEA仅1例(7.1%)。只有一名女孩的CEA与肌肉骨骼系统的先天缺陷有关。结论及时建立正确的诊断是必要的,特别是对家庭医生而言,对亲属进行遗传咨询有利于早期预防。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Congenital Anomalies of The Ear in Newborns from Lviv Region (west Ukraine) for 2006-2018 YY.
Objectives The ear’s congenital anomalies usually occur in the outer, middle or inner ear separately or in combination. We had determined the сongenital ear’s anomalies (CEA) in newborns (2006-2018 yy) in West Ukraine, Lviv region. Methods 14 newborns who were diagnosed according to the reporting form by the maternity hospitals with CEA were analyzed over a period of 13 years.Results During the study period (2006–2018), there were 366 147 births reported, and 8634 newborns with birth defects, 14 were with CEA, an average incidence of 0.4 per 10 000 births. Our study included 10 boys and 4 girls with CEA. Male-to-female ratio was 2.5:1. The number of newborns with ear pathology was 1.8 times higher in the city than in the village. The most common birth defects of the ear were Q16.1 congenital absence, atresia and stricture of auditory canal (external) – 4 (28.6%) and Q16.9 CEA causing impairment of hearing, unspecified – 4 (28.6%), especially the most common of right side. Microtia (Q17.2) was met very rarely -1 (7.1%) and other CEA Q16.9-1 (7.1%). During this period there were only 2 cases of anotia and 1 case of microtia. There was only 1 (7.1%) case of bilateral CEA in boy from town. Just one girl had CEA was associated with birth defect of musculoskeletal system. Conclusion This is necessary to establish the correct diagnosis in time, especially for mind of the family doctors, genetic counseling for relatives family for has benefited earlier prophylaxis.
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