18-三体综合征胎儿超声指标分析.pdf

医学影像学杂志2012年第22卷第10期—!—MedImag!堕!!!：!；盟!：!!!!!1 18一三体综合征胎儿超声指标分析 邵明焕1，邓学东2，钱孝纲1 【摘 要】 目的探讨18一三体综合征胎儿的声像特征及产前超声诊断的临床意义。方法回顾分析经羊水穿刺或脐 血穿刺胎儿染色体检查确诊为18一三体综合征的胎儿声像特征。结果 19例18一三体综合征16例有两个及以上异常声 裂，食道闭锁，小颌畸形，足内翻，膈疝，单脐动脉等。结论 中、晚孕期超声筛查是提高产前检出18一三体综合征的有效措 施。 【关键词】胎儿畸形；18一三体综合征；超声检查 中图分类号：R714．53；R：445．1文献标识码：A 文章编号i1006—9011(2012)10—1719—03 fetuses Ultrasoundassociatedwith of 18 findings trisomysyndrome SHAO 2，QIAN Ming—huanl，DENGXue—dong Xiao—gan91 1．Ultrasound No2 215500，P．R．China DepartmentofChangshuHospital，Suzhou 2．CenterMedical Medical A Suzhou MunicipalHospi of Ultrasound，Nan3ing Universityf{iliatedHospital，Suzhou tal，Suzhou215002，P．R．China To the of 18 the of ultra assess and clinical [Abstract]Objectivesonographicappearancestrisomy significanceprenatal sonic of 18．MethodsTheultrasoundas 18 wereevaluated．Results dignosistrisomy findingstrisomybykaryotyping Sixteenof19fetuseshadatleasttWOdeteceted cardiacanomalieswerethemostcommon fol abnormalities．Fetal findings lowedabnormalhand common includedchoroid by posturing．Other plexus sonographicfindings ar hernia，andumbilical dy—Walkersyndrome，cleftlip，esophagealatresia，micrognathia，clubfoot，diaphragmaticsingle Theevaluationofultrasoundiseffectivefor inthefetuswith 18dur tery．Conclusion findings prenatalscreening trisomy thesecondandthirdtrimester． ing Fetal 1