产前系统超声检查对胎儿前脑无裂畸形的诊断价值.pdfVIP

齐齐哈尔医学院学报2012年第33卷第16期 产前系统超声检查对胎儿前脑无裂畸形的诊断价值 张少丹 员小春 张春燕 【摘要】 目的探讨胎儿前脑无裂畸形(HPE)的超声表现及产前系统超声检查在胎儿前脑无裂 回顾性分析16 畸形诊断中的价值。方法 856例于我院产前超声检查中发现的6例胎儿HPE超声声 像图表现。结果 本研究6例前脑无裂畸形中无叶型前脑无裂畸形5例，半叶型前脑无裂畸形1例，超 声表现为：单一原始脑室、丘脑融合、脑中线结构缺如、中线性颜面部畸形、先天性心脏严重畸形等。6 例引产后均经尸检证实。结论产前胎儿系统超声检查对于胎儿无叶及半叶前脑无裂畸形有较高的诊 断价值，降低严重缺陷儿出生率，对临床诊断有重要意义。 【关键词】胎儿系统超声检查 胎儿前脑无裂畸形 诊断价值 valueof ultrasoundtofetal ZHANGShao—da”，露a1． Diagnosticsystematicprenatal holoprosencephaly ofUltrasound，Gaoxin 710075，theP．R．China．) (Department Hospital，Xian，Shanxi [Abstract] Todiscussthe of andthedi— Objective uItrasonographicappearancehoIoprosencephaly valueof ultrasound．Methodsthe of6 agnostic systemicprenatal Analyzedultrasonographicappearance HPE caseswho casesof in16856 underwent examination． diagnosed systematicprenatalultrasonography Results the6casesof 5wasentire and1 was Among non—holoprosencephaly， h010prosencephaly as Ultrasonographic ventricle，thalamic 8emi—holoprosencephaly．appearancefollows：singleprimitive facial fusion，absenceofbrainmidlinestructrures，thelinear heartde— deformities，seriouslycongenital formities．Allofthe6caseswereconfirmed bycorpases．ConclusionsSystematicprenatalultrasonogra— examinationhas valuetoentire and diagnostic phy higher h010prosencephalysemi—holoprosencephaly， birth ofseriousdefect．Ithasan inclinical canreducethe rate importantsignificancediagnos