胎儿足畸形的产前超声检查价值及局限性探讨-中华临床医师杂志.PDFVIP

中华临床医师杂志( 电子版)2013 年8 月第7 卷第16 期 Chin J Clinicians(Electronic Edition),August 15,2013,Vol.7,No.16 ·7405 · ·临床论著· 胎儿足畸形的产前超声检查价值及局限性 探讨 王家刚 张小林 马雄涛 巨学明 【摘要】 目的 探讨产前超声检查在胎儿足畸形诊断中的作用及局限性，并分析胎儿足畸形产前超声 漏诊原因。方法 采用连续顺序超声追踪法对12 371 例胎儿进行常规二维及三维超声系统筛查，观察胎儿 足部发育、有无异常及伴发畸形，产前超声与引产胎儿检查结果对照，总结胎儿足畸形产前超声声像图特 征。结果 12 371 例孕妇产前超声检出胎儿足畸形36 例，检出率0.3% （36/12 371 ），其中先天性足内翻畸 形25 例，部分趾缺如1 例，足趾完全缺如2 例，足缺如1 例，裂足1 例，小腿及足缺如1 例，致死性骨发 育不良5 例。因足外其他系统严重畸形引产胎儿证实产前超声漏诊足畸形7 例，足内翻2 例，足外翻1 例， 多趾1 例，并趾2 例，趾缺如1 例，漏诊率0.06 （7/12 371 ）。结论 产前二维超声检查在较严重胎儿足畸 形的检出、形态分类诊断方面有重要作用，选择合适的产前超声检查时间、合适的胎儿体位、连续顺序追 踪超声法结合实时三维超声细致检测可提高胎儿足畸形的产前诊断准确率。 【关键词】 超声检查，产前； 胎儿； 足畸形 Diagnostic value and limitation of prenatal ultrasonography in detecting fetal foot malformations WANG Jia-gang, ZHANG Xiao-lin , MA Xiong-tao, JU Xue-ming. Department of Ultrasound, Affiliated Shantou Hospital of Sun Yat-sen University,Shantou 515031, China Corresponding author:WANG Jia-gang, Email:wangjiagang@ 【Abstract 】 Objective To evaluate the diagnostic value and limitation of prenatal ultrasonography in detecting fetal foot malformations. To analysis the causes of missed diagnosis of prenatal ultrasonography in detecting fetal foot deformity. Methods Systematic continuous sequence approach was performed with two- and three-dimensional ultrasonography to examine 12 371 cases of fetus, observing the fetal foot development, deformity and other organ deformities. Prenatal sonographic features of fetal foot deformities(36 cases) were compared with the morphology and X-ray characteristics of the delivered fetuses. Results Thirty-six cases of fetal foot deformity were diagnosed ou