产前超声检查在诊断胎儿膈疝中的应用价值 - New Century Science .PDF

/index.php/gjmi Global Journal of Medical Imaging，2014,Vol.1,No.1 Prenatal ultrasound diagnosis of fetal diaphragmatic hernia LU Hong-tao Department of Ultrasound, Zaozhuang Maternity＆Child Healthcare Hospital, Zaozhuang, China Received: Sep 3, 2014 Accepted: Sep 8, 2014 Published: Sep 30, 2014 DOI:10.14725/gjmi.v1n1a830 URL:/10.14725/gjmi.v1n1a830 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objective: To evaluate the prenatal ultrasound detection in the diagnosis of fetal diaphragmatic hernia. Methods: After routine prenatal ultrasonic examination in pregnant women, the suspected fetal diaphragmatic hernia cases were taken thoracic and abdominal multidetector continuous scanning, focus on the following ultrasonic appearance: abnormal echo in thoracic cavity, image features and the blood supply of the echo, displacement of the heart, position and structure of abdominal organs. In order to determine the existence and the type of diaphragmatic hernia, other malformations screening was practiced simultaneously. Results: 25 cases with fetal diaphragmatic hernia were detected by ultrasonography and clinic approved with 26 cases, only 1 case missed. Among the 26 cases of fetal diaphragmatic hernia,there were 23 cases of left side diaphragmatic hernia （88.5%,23/26), 3 cases of right side diaphragmatic hernia （11.5%, 3/26）. 11 cases of fetal diaphragmatic hernia complicated with other organ abnormal(42.3%，11/26). 17 cases of fetaldiaphragmatic hernia complicated with polyhydramnios (65.4 ％，17/26 ）.Conclusions: Prenatal ultrasound can accurately diagnose the fetal diaphragmatic hernia, it is indeed valuable in clinical application. Key Words Ultra