三维超声对胎儿正常唇及唇裂的诊断研究.pdfVIP

2 0 1 5 年 2 月 第 5 卷 第 3 期 ·放射与影像· 三维超声对胎儿正常唇及唇裂的诊断研究 张  超    王善良 青岛市胶州中心医院，山东青岛 266300 [摘要] 目的 对三维超声对胎儿正常唇及唇裂的诊断价值进行探讨。 方法 选取 2011 年 1 月～ 2013 年 12 月来我院进行超声检查的 580 例孕周超过 20 周的孕妇，利用三维超声进行诊断。 结果 580 例孕妇利用三 维超声检查，12 例存在唇裂情况，检出率为 2.07%，均在孕妇引产后或是产后得到证实。其中 4 例胎儿存在 侧脑室偏宽、脐膨出、心律不齐且左心室存在光点、先天性室间隔缺损等症状。540 例孕妇获取满意的胎儿 面部、唇部影像图像，40 例孕妇受到胎儿枕前位，面部紧贴胎盘或是宫壁，胎儿胎头固定以俯屈姿势入盆、面 部四周没有羊水等多种因素的影响，胎儿的面部与唇部无法获取清晰的图像资料。 结论 三维超声在胎儿 唇裂诊断中的应用，具有很高的诊断价值。 [关键词] 三维超声；正常唇；唇裂 [中图分类号] R445.1;R714.5      [文献标识码] B      [文章编号] 2095-0616（2015）03-181-03 Research of the diagnostic value of three-dimensional ultrasonography for fetal normal lip and cleft palate ZHANG  Chao    WANG  Shanliang Jiaozhou Central Hospital of Qingdao City，Qingdao 266300,China [Abstract] Objective To explore the diagnostic value of three-dimensional ultrasonography for fetal normal lip and cleft palate. Methods 580 cases of gestational age over 20 weeks pregnant women performed ultrasound test during January 2011 to December 2013 in our hospital were selected and diagnosed by three-dimensional ultrasonography. Results 12 of 580 pregnant women diagnosed by three-dimensional ultrasonography with cleft lip,which was confirmed after induced labor and parturition, the detection rate of 2.07%.4 of the 12 fetus were with symptoms of partial lateral ventricle width,acromphalus,arrhythmia,left ventricular spot and congenital ventricular septal defect.540 cases of pregnant women obtained satisfactory images of the fetal face and lips.And 40 cases of pregnant women didn’t obtain clear images affected the by the cause of OA,face close to the placenta or palace wall,fetal head fixed by prone flexion position into the basin,the face without amniotic fluid. Conclusion Three-dimension