摘要
目的:探讨超声在诊断胎儿先天性畸形的临床价值。方法:收治胎儿先天畸形20例,经引产后证实16例(80.0%),经分娩证实4例(20.0%)。对当时超声诊断资料进行回顾性分析。结果:本组20例,经过超声确诊19例,其中唇裂1例,短肢畸形1例,肛门闭锁1例,脐膨出1例,裂腹畸形1例,腹腔积液1例,脊柱裂并脊膜膨出1例,脑积水5例,无脑儿3例,胎儿水肿4例,诊断符合率95.0%,漏诊1例(膈疝)。结论:彩色多普勒超声具有无创伤、图像清晰、可重复性强等优点,在诊断胎儿先天性畸形发挥了较大的作用,具有较高的临床价值。
Objective:To investigate the clinical value of echocardiography in diagnosis of fetal congenital malformations.Methods: in our hospital from 2010 January to 2013 December prenatal ultrasound examination,after childbirth or induced labor by fetal congenital malformation in 20 cases,the ultrasound diagnosis were retrospectively analyzed.Results:of the 20 patients,19 cases were diagnosed by ultrasound,including 1 cases of clft lip,short limb malformations in 1 cases,1 cases with anal atresia,1 cases of omphalocele,Schizothorax malformation in 1 cases,1 cases of peritoneal effusion,spina bifida and 1 patients with myelomeningocele,hydrocephalus in 5 cases,3 cases without brain,4 cases of fetal edema,diagnosis rate 95%,1 cases were missed(Diaphragmatic hernia).Conclusion:ultrasound has no trauma,good repeatability,high diagnostic coincidence rate in diagnosis of fetal congenital malformations,with a high clinical value.
关键词
胎儿先天性畸形
超声
诊断价值
Fetal congenital malformation
Ultrasound
Diagnostic value